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1023165123
MAC GENE BAILES
GASSAWAY, WV
NPI
1023165123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WV 1100)
Enumeration Date
2007-01-04
Last Update Date
2007-07-09
Business Address
-- MAC GENE BAILES DO
100 HOYLMAN DR
GASSAWAY, WV 26624-9321
Phone number: 304-364-1060
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Mailing Address
-- MAC GENE BAILES DO
1431 CENTERPOINT BLVD SUITE 100
KNOXVILLE, TN 37932-1984
Phone number:
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