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1922150135
BRENDA K BASS
RIDGELAND, MS
NPI
1922150135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT0204)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Ms. BRENDA K BASS OT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Ms. BRENDA K BASS OT
1030 SHADY GROVE RD
HAZLEHURST, MS 39083-9196
Phone number: 601-894-5074
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