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1568911311
TIFFANY LEIGH BAITY
MOUNT VERNON, IL
NPI
1568911311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004630)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
Ms. TIFFANY LEIGH BAITY PTA
606 E IL HIGHWAY 15
MOUNT VERNON, IL 62864-5072
Phone number: 618-241-7039
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Mailing Address
Ms. TIFFANY LEIGH BAITY PTA
606 E IL HIGHWAY 15
MOUNT VERNON, IL 62864-5072
Phone number: 618-241-7039
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