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1922280668
STEPHANIE MICHELLE BASS
POPLAR BLUFF, MO
NPI
1922280668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 117264)
Enumeration Date
2007-12-05
Last Update Date
2007-12-05
Business Address
Mrs. STEPHANIE MICHELLE BASS ATC/R
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2346
Phone number: 573-778-9348
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Mailing Address
Mrs. STEPHANIE MICHELLE BASS ATC/R
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2346
Phone number: 573-778-9348
Copy
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