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1023372273
JAN DAWN BAILEY STOUT
BRISTOL, TN
NPI
1023372273
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Other Name
JAN DAWN WILKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
-- JAN DAWN BAILEY STOUT
26 MIDWAY ST
BRISTOL, TN 37620-1706
Phone number: 423-989-4500
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Mailing Address
-- JAN DAWN BAILEY STOUT
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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