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1992096895
MARY ELLEN BASS
CRYSTAL RIVER, FL
NPI
1992096895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA3409)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
-- MARY ELLEN BASS Speech Therapist
255 SE 7TH AVE SUITE 2
CRYSTAL RIVER, FL 34429-4891
Phone number: 352-795-4117
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Mailing Address
-- MARY ELLEN BASS Speech Therapist
255 SE 7TH AVE SUITE 2
CRYSTAL RIVER, FL 34429-4891
Phone number: 352-795-4117
Copy
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