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Individual
DR. JOHN LEE BASS
Active
Individual
DR. JOHN LEE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, CNS, PHD
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
14574
CA
364SE0003X
Emergency Clinical Nurse Specialist
2723
CA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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