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1093237935
JASON EARL BAILEY
IDAHO FALLS, ID
NPI
1093237935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: ID PT-5201)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
Dr. JASON EARL BAILEY DPT
3100 S WOODRUFF AVE.
IDAHO FALLS, ID 83404
Phone number: 208-523-8879
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Mailing Address
Dr. JASON EARL BAILEY DPT
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404-8310
Phone number:
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