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1467886283
SHANE BAILEY
FORT WORTH, TX
NPI
1467886283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- SHANE BAILEY PA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1110
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Mailing Address
-- SHANE BAILEY PA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-927-1110
Copy
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