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1467517672
JERRY BAINS
PHOENIX, AZ
NPI
1467517672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
(Licence: AZ 5639)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Dr. JERRY BAINS MD
3825 N 24TH ST
PHOENIX, AZ 85016-6512
Phone number: 602-248-8886
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Mailing Address
Dr. JERRY BAINS MD
3825 N 24TH ST
PHOENIX, AZ 85016-6512
Phone number: 602-248-8886
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