OWEN BAILEY IVAN

JACKSON, MS
NPI1639932353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
Mr. OWEN BAILEY IVAN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5012
Mailing Address
Mr. OWEN BAILEY IVAN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5012