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Individual
MRS. DESIREE DAWN BAILEY
Active
Individual
MRS. DESIREE DAWN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPC-NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010575A
IN
363LP2300X
Primary Care Nurse Practitioner
71010575A
IN
Other
Enumeration date
12/04/2020
Last updated
01/30/2024
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