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1760914980
TIMOTHY WILL CHRISTOPHER BASS
FRESNO, CA
NPI
1760914980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2020017645)
Enumeration Date
2017-03-28
Last Update Date
2020-08-04
Business Address
TIMOTHY WILL CHRISTOPHER BASS M.D.
155 N FRESNO ST
FRESNO, CA 93701-2302
Phone number: 559-499-6450
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Mailing Address
TIMOTHY WILL CHRISTOPHER BASS M.D.
1 SOUTHTOWNE DR
POTOSI, MO 63664-5729
Phone number: 573-438-7892
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