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Individual

MS. REBEKKA LEAH BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
H.I.S. #613

Contact information

Practice address
913 W COURT ST, PARAGOULD, AR 72450-5922
(870) 239-3072
(870) 239-4953
Mailing address
1825 E NETTLETON AVE STE E, JONESBORO, AR 72401-5152
(870) 932-3002
(870) 932-3004

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
613
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
613
NONE
AR
Enumeration date
07/05/2018
Last updated
07/05/2018
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