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1922602796
BRANDON LEE BAILEY
CLAY, WV
NPI
1922602796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-11-23
Last Update Date
2020-12-03
Business Address
BRANDON LEE BAILEY
15 BANK ST
CLAY, WV 25043
Phone number: 304-587-9992
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Mailing Address
BRANDON LEE BAILEY
1311 RENAISSANCE CIR APT 615
CHARLESTON, WV 25311-1550
Phone number: 304-989-6666
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