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Individual

BAILEY GOOLSBEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
520 MAIN ST, HAWLEY, MN 56549
(218) 483-1500
Mailing address
855 12TH ST NW APT 206, VALLEY CITY, ND 58072-2042
(701) 680-0910

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4739
MN

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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