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1881262574
CHARLES E BAILEY
PORTSMOUTH, VA
NPI
1881262574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
CHARLES E BAILEY
953 THOMAS CIR
PORTSMOUTH, VA 23704-4171
Phone number: 323-204-6084
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Mailing Address
CHARLES E BAILEY
953 THOMAS CIR
PORTSMOUTH, VA 23704-4171
Phone number: 323-204-6084
Copy
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