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1932837465
LORIE LYNNE BASS
VENICE, FL
NPI
1932837465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 4868)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
LORIE LYNNE BASS PT
1420 E VENICE AVE
VENICE, FL 34292-3063
Phone number: 941-650-1518
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Mailing Address
LORIE LYNNE BASS PT
1461 SOUTHBAY DR
OSPREY, FL 34229-9124
Phone number: 941-650-1518
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