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1841939485
ALYSSA PAIGE BASS
JENA, LA
NPI
1841939485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA 325868)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
ALYSSA PAIGE BASS LCOTA
175 HUMMINGBIRD LN
JENA, LA 71342-3603
Phone number: 318-201-7524
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Mailing Address
ALYSSA PAIGE BASS LCOTA
175 HUMMINGBIRD LN
JENA, LA 71342-3603
Phone number: 318-201-7524
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