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1871284026
CHANTEL A BASS
CUMMING, GA
NPI
1871284026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA BACB922732)
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
Mrs. CHANTEL A BASS
1664 MARKET PLACE BLVD
CUMMING, GA 30041-7927
Phone number: 470-253-4121
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Mailing Address
Mrs. CHANTEL A BASS
3439 LAKE END DR
LOGANVILLE, GA 30052-5809
Phone number: 470-304-6067
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