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1457001976
BENJAMIN BAILEY
ROANOKE, VA
NPI
1457001976
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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
2022-03-27
Last Update Date
2022-03-27
Business Address
BENJAMIN BAILEY
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
BENJAMIN BAILEY
320 ODOM RD
RUTLEDGE, TN 37861-4386
Phone number: 865-922-3406
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