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1801387857
GINA RENEE BASS-MADDOX
PORT HURON, MI
NPI
1801387857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
GINA RENEE BASS-MADDOX
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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Mailing Address
GINA RENEE BASS-MADDOX
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
Copy
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