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1174002133
JACQUELINE BAILEY
MANSFIELD, OH
NPI
1174002133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: OH CP004121)
Enumeration Date
2018-08-10
Last Update Date
2019-11-13
Business Address
MRS. JACQUELINE BAILEY CP
2149 STUMBO RD
MANSFIELD, OH 44906-1265
Phone number: 419-545-7423
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Mailing Address
MRS. JACQUELINE BAILEY CP
2149 STUMBO RD
MANSFIELD, OH 44906-1265
Phone number: 419-545-7423
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