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1790414654
WILLIE D BASS
ADDISON, TX
NPI
1790414654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
WILLIE D BASS
14275 MIDWAY RD STE 260
ADDISON, TX 75001-3613
Phone number: 702-900-4522
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Mailing Address
WILLIE D BASS
14275 MIDWAY RD STE 260
ADDISON, TX 75001-3613
Phone number: 214-783-4302
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