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1720155914
JEFFERY MARTIN BAILES
MARIETTA, OH
NPI
1720155914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-11-30
Last Update Date
2012-08-06
Business Address
-- JEFFERY MARTIN BAILES PA-C
215 5TH ST
MARIETTA, OH 45750-4033
Phone number: 740-376-4341
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Mailing Address
-- JEFFERY MARTIN BAILES PA-C
703 HARPOLD AVE
RAVENSWOOD, WV 26164-1339
Phone number: 304-440-4344
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