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1265694541
JASON R BAILEY
FORT WAYNE, IN
NPI
1265694541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: IN 02004710A)
Enumeration Date
2008-06-27
Last Update Date
2022-10-07
Business Address
JASON R BAILEY DO
2231 CAREW ST
FORT WAYNE, IN 46805-4713
Phone number: 260-373-9935
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Mailing Address
JASON R BAILEY DO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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