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1912465675
ELIZABETH BAILUM
MIAMI, FL
NPI
1912465675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
ELIZABETH BAILUM
15620 SW 10TH LN
MIAMI, FL 33194-2755
Phone number: 812-929-1366
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Mailing Address
ELIZABETH BAILUM
5360 W SYCKS CT
BLOOMINGTON, IN 47404-9653
Phone number:
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