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1154162774
BRYAR L BAILES
MOUNT NEBO, WV
NPI
1154162774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
BRYAR L BAILES
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
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Mailing Address
BRYAR L BAILES
PO BOX 569
MOUNT NEBO, WV 26679-0569
Phone number: 304-883-2334
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