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Individual
TRICIANNA S BAILEY
Active
Individual
TRICIANNA S BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659119
NY
164W00000X
Licensed Practical Nurse
Primary
285165
NY
Other
Enumeration date
11/06/2011
Last updated
09/20/2012
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