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1538850979
TIMOTHY GEORGE BAILES
VENTURA, CA
NPI
1538850979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
TIMOTHY GEORGE BAILES DO
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number: 805-948-5011
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Mailing Address
TIMOTHY GEORGE BAILES DO
147 N BRENT ST
VENTURA, CA 93003-2809
Phone number:
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