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1750088597
MICHAELA NICOLE BASS
MIDLOTHIAN, VA
NPI
1750088597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009139)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
MICHAELA NICOLE BASS PA-C
3742 WINTERFIELD RD
MIDLOTHIAN, VA 23113-9230
Phone number: 804-330-3335
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Mailing Address
MICHAELA NICOLE BASS PA-C
536 PENINSULA DR
GILBERT, SC 29054-9251
Phone number: 240-994-8274
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