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Individual

DR. JETAUN BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1012 HILLANDALE DR, FAIRFIELD, AL 35064-1526
(205) 542-7960
Mailing address
1012 HILLANDALE DR, FAIRFIELD, AL 35064-1526
(205) 542-7960

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2223
AL

Other

Enumeration date
07/13/2018
Last updated
07/13/2018
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