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1104074350
STEPHEN BALEY
JACKSON, MS
NPI
1104074350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R760315)
Enumeration Date
2008-08-29
Last Update Date
2008-08-29
Business Address
Mr. STEPHEN BALEY RN
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Mr. STEPHEN BALEY RN
3793 COKER RD
MADISON, MS 39110-7137
Phone number: 601-856-3220
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