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Individual

JILL K BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1003 ALABASTER CV, SANFORD, FL 32771-3607
(423) 834-8735
Mailing address
610 BARKER RD, HIXSON, TN 37343-1902
(423) 834-8735
(877) 797-0629

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
FL

Other

Enumeration date
10/15/2020
Last updated
05/13/2023
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