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1275103855
BRENDAN P. BAILEY
JOPLIN, MO
NPI
1275103855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
BRENDAN P. BAILEY
4311 W 26TH PL
JOPLIN, MO 64804-7018
Phone number: 417-499-5218
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Mailing Address
BRENDAN P. BAILEY
4311 W 26TH PL
JOPLIN, MO 64804-7018
Phone number: 417-499-5218
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