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1174104566
BAILEY R GONGOB
HONOLULU, HI
NPI
1174104566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
Miss BAILEY R GONGOB
771 AMANA ST STE 201
HONOLULU, HI 96814-3238
Phone number: 808-294-9728
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Mailing Address
Miss BAILEY R GONGOB
335 ANAPALAU ST
HONOLULU, HI 96825-2241
Phone number: 808-294-9728
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