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1144812827
BAILIE MICHELLE CORALLO
LUBBOCK, TX
NPI
1144812827
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Former Name
BAILIE PHARES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 121519)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
BAILIE MICHELLE CORALLO OTR
1717 NORFOLK AVE
LUBBOCK, TX 79416-6099
Phone number: 806-281-6106
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Mailing Address
BAILIE MICHELLE CORALLO OTR
6902 76TH ST
LUBBOCK, TX 79424-0743
Phone number:
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