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1780799619
SUSAN LAURIE BASS
LOS ANGELES, CA
NPI
1780799619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA PT13677)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- SUSAN LAURIE BASS P.T.
2080 CENTURY PARK E SUITE205
LOS ANGELES, CA 90067-2001
Phone number: 310-553-2519
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Mailing Address
-- SUSAN LAURIE BASS P.T.
2080 CENTURY PARK E SUITE205
LOS ANGELES, CA 90067-2001
Phone number: 310-553-2519
Copy
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