BRIAN KEITH BAILEY

SHEBOYGAN, WI
NPI1285993360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  3141264031)
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
Mr. BRIAN KEITH BAILEY LPN
1833 N 25TH ST
SHEBOYGAN, WI 53081-2134
Phone number: 920-912-7855
Mailing Address
Mr. BRIAN KEITH BAILEY LPN
1833 N 25TH ST
SHEBOYGAN, WI 53081-2134
Phone number: 920-912-7855
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