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Individual

VICTOR BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4431
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 227-4431

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LSW-2350
HI
171M00000X
Case Manager/Care Coordinator
LSW.0009920777
CO

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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