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1073888962
JERRY BAILEY
CLARKSTON, WA
NPI
1073888962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00016567)
Enumeration Date
2012-03-12
Last Update Date
2012-03-12
Business Address
-- JERRY BAILEY RPh
301 5TH ST
CLARKSTON, WA 99403-1860
Phone number: 509-758-8897
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Mailing Address
-- JERRY BAILEY RPh
301 5TH ST
CLARKSTON, WA 99403-1860
Phone number: 509-758-8897
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