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1235740119
JOHN EDWARD BAILEY
CHARLESTON, WV
NPI
1235740119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-13
Last Update Date
2022-04-29
Business Address
JOHN EDWARD BAILEY
3531 COAL FORK DR TRLR 13
CHARLESTON, WV 25306-6865
Phone number: 304-382-3023
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Mailing Address
JOHN EDWARD BAILEY
3531 COAL FORK DR TRLR 13
CHARLESTON, WV 25306-6865
Phone number: 304-382-3023
Copy
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