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Individual
HARLEIGH DESIREE BASS
Active
Individual
HARLEIGH DESIREE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
BACB889309
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB889309
BACB
NE
Enumeration date
02/01/2023
Last updated
02/01/2023
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