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1881479871
JUSTIN BAILEY
TAOS, NM
NPI
1881479871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-28
Last Update Date
2023-12-22
Business Address
JUSTIN BAILEY
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
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Mailing Address
JUSTIN BAILEY
7193 HIGHWAY 518
RANCHOS DE TAOS, NM 87557-9758
Phone number:
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