BAILEY KELLY

MEQUON, WI
NPI1487240719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI  2393-39)
Enumeration Date2020-12-21
Last Update Date2021-01-15
Business Address
BAILEY KELLY LAT
12800 N LAKE SHORE DR
MEQUON, WI 53097-2418
Phone number: 262-243-2147
Mailing Address
BAILEY KELLY LAT
1737 PATRIOT WAY
MOUNT PLEASANT, WI 53406-2730
Phone number: 262-417-6291
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