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Individual

BAILEY BESTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-6290
Mailing address
151 ANDREW AVE APT 128, NAUGATUCK, CT 06770-4364

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5748
CT

Other

Enumeration date
06/16/2022
Last updated
01/25/2024
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