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1720780588
BAILEY CHAKLOS
BRIDGETON, MO
NPI
1720780588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2022031592)
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
BAILEY CHAKLOS
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9710
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Mailing Address
BAILEY CHAKLOS
1210 OXFORD HILL CT APT 6
SAINT LOUIS, MO 63146-5718
Phone number: 618-578-8619
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