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1982117412
NICHOLAS BASS
OPP, AL
NPI
1982117412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: AL 1-144846)
Enumeration Date
2017-11-07
Last Update Date
2018-03-17
Business Address
NICHOLAS BASS AGPCNP-BC
702 N MAIN ST
OPP, AL 36467-1626
Phone number: 334-493-3541
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Mailing Address
NICHOLAS BASS AGPCNP-BC
267 RIDGE DR
HEADLAND, AL 36345-7405
Phone number: 334-796-7670
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