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1750826764
JAVONTE BASS
DURHAM, NC
NPI
1750826764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A12621)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- JAVONTE BASS
3500 WESTGATE DR STE 604
DURHAM, NC 27707-2534
Phone number: 919-493-5013
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Mailing Address
-- JAVONTE BASS
6605 LAKE HILL DR APT E
RALEIGH, NC 27609-3457
Phone number: 252-571-7142
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