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1265687669
JOHN ROGER BAILEY
ITHACA, NY
NPI
1265687669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 004150)
Enumeration Date
2008-11-26
Last Update Date
2008-11-26
Business Address
-- JOHN ROGER BAILEY
108 S ALBANY ST STE 5
ITHACA, NY 14850-5446
Phone number: 606-216-1450
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Mailing Address
-- JOHN ROGER BAILEY
108 S ALBANY ST STE 5
ITHACA, NY 14850-5446
Phone number: 606-216-1450
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