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1265706105
KENNETH BAILEY
SHAWNEE, OK
NPI
1265706105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- KENNETH BAILEY
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
-- KENNETH BAILEY
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number:
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