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Individual

CAROLYN JEAN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16 RANCHO DEL MAR, APTOS, CA 95003-3902
(831) 421-0495
Mailing address
16 RANCHO DEL MAR, APTOS, CA 95003-3902
(831) 421-0495

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40208
CA

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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