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MR. BRIAN KEITH BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1833 N 25TH ST, SHEBOYGAN, WI 53081-2134
(920) 912-7855
Mailing address
1833 N 25TH ST, SHEBOYGAN, WI 53081-2134
(920) 912-7855

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3141264031
WI

Other

Enumeration date
05/10/2012
Last updated
05/10/2012
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