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1750053187
JENNIFER JEAN BASS
SAN BERNARDINO, CA
NPI
1750053187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT32649)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
JENNIFER JEAN BASS LPT
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
JENNIFER JEAN BASS LPT
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
Copy
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