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1861015851
BAILEY NOEL BASTIEN
JOPLIN, MO
NPI
1861015851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-05-25
Last Update Date
2021-08-12
Business Address
BAILEY NOEL BASTIEN
2830 OHIO AVE
JOPLIN, MO 64804-2856
Phone number: 916-960-6793
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Mailing Address
BAILEY NOEL BASTIEN
2830 OHIO AVE
JOPLIN, MO 64804-2856
Phone number:
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