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1962142281
JONATHAN ALEXANDER BASS
TEMPLE, TX
NPI
1962142281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
JONATHAN ALEXANDER BASS MD
2401 S 31ST ST # MS 20D304
TEMPLE, TX 76508-0001
Phone number: 254-724-5306
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Mailing Address
JONATHAN ALEXANDER BASS MD
2401 S 31ST ST # MS 20D304
TEMPLE, TX 76508-0001
Phone number: 254-724-5306
Copy
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