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Individual

MR. MARQUIS D. BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT/L

Contact information

Practice address
200 ALEXANDER PRESTON LN, WINSTON - SALEM, NC 27127
(336) 624-9345
Mailing address
200 ALEXANDER PRESTON LN, WINSTON SALEM, NC 27127-7294
(336) 624-9345

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6115
NC

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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