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1467049122
JACKSON KYLE BAILEY
SAN ANTONIO, TX
NPI
1467049122
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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
2020-12-29
Last Update Date
2023-04-18
Business Address
JACKSON KYLE BAILEY
333 N SANTA ROSA
SAN ANTONIO, TX 78207-3108
Phone number: 210-704-2011
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Mailing Address
JACKSON KYLE BAILEY
4822 NW FIR PL
ALBANY, OR 97321-9114
Phone number: 503-887-5010
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