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1972241537
DIEDRA LYNNE BASS
SPENCER, OK
NPI
1972241537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
DIEDRA LYNNE BASS MSW
12716 NE 36TH ST
SPENCER, OK 73084-9167
Phone number: 405-769-3301
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Mailing Address
DIEDRA LYNNE BASS MSW
PO BOX 30589
MIDWEST CITY, OK 73140-3589
Phone number: 405-769-3301
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