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1992086961
TRAVIS DEAN BAILEY
JOHNSON CITY, TN
NPI
1992086961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
-- TRAVIS DEAN BAILEY
900 BUFFALO ST
JOHNSON CITY, TN 37604-6720
Phone number: 423-232-4130
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Mailing Address
-- TRAVIS DEAN BAILEY
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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