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1053088922
AUDREY KATHRYN BAILEY
GRENADA, MS
NPI
1053088922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 904839)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
AUDREY KATHRYN BAILEY
40 LARK DR
GRENADA, MS 38901-9640
Phone number: 166-280-9245
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Mailing Address
AUDREY KATHRYN BAILEY
40 LARK DR
GRENADA, MS 38901-9640
Phone number: 662-809-2450
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