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1780616953
RANDALL DWIGHT BASS
HOUMA, LA
NPI
1780616953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: LA 14997R)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- RANDALL DWIGHT BASS MD
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
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Mailing Address
-- RANDALL DWIGHT BASS MD
1990 INDUSTRIAL BOULEVARD
HOUMA, LA 70363-7055
Phone number: 985-868-9300
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