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1851693808
RUSSELL JAMES BAILEY
PROVO, UT
NPI
1851693808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 7809881-2504)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
Dr. RUSSELL JAMES BAILEY Ph.D.
1675 N FREEDOM BLVD SUITE 2B2
PROVO, UT 84604-2540
Phone number: 801-360-7598
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Mailing Address
Dr. RUSSELL JAMES BAILEY Ph.D.
1675 N FREEDOM BLVD SUITE 2B2
PROVO, UT 84604-2540
Phone number: 801-360-7598
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