KEITH SAMUEL BASS, NP-C
Nursing in Goreville, IL

License number
Illinois 209015848
Category
Nursing
Type
Family
Address
Address 2
400 S BROADWAY, Goreville, IL 62939
20 Lynwood Ln, Anna, IL 62906
Phone
(618) 995-1002
(217) 898-3462
National Provider ID: 1114440179
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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