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Individual

BAILEE ROCHELLE KEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(317) 502-8200
Mailing address
6287 HIGH COUNTRY LN, MONROVIA, IN 46157-9066
(317) 919-4849

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/28/2019
Last updated
05/28/2019
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