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1588998793
LISA JAE BAILEY
PRESCOTT, AZ
NPI
1588998793
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Former Name
LISA JAE BAILEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 2413)
Enumeration Date
2009-09-22
Last Update Date
2020-08-06
Business Address
Mrs. LISA JAE BAILEY OT/L
1045 WHIPPLE ST
PRESCOTT, AZ 86305-1662
Phone number: 805-287-2944
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Mailing Address
Mrs. LISA JAE BAILEY OT/L
1403 W IRON SPRINGS RD LOT 64
PRESCOTT, AZ 86305-3308
Phone number: 480-528-7294
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