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Individual

CALVIN KEITH BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12168 W MIAMI ST, TOLLESON, AZ 85353-2741
(309) 453-3130
Mailing address
12168 W MIAMI ST, TOLLESON, AZ 85353-2741
(309) 453-3130

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
896773
AZ

Other

Enumeration date
01/25/2011
Last updated
01/25/2011
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