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1871344812
GAGE WESLEY BASS
WACO, TX
NPI
1871344812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 67530)
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
GAGE WESLEY BASS
3015 HERRING AVE
WACO, TX 76708-3238
Phone number: 888-236-4567
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Mailing Address
GAGE WESLEY BASS
2147 LIFESTYLE LN
MCGREGOR, TX 76657-3866
Phone number: 254-292-0965
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