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Individual

MRS. MILISA MARY BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1001 E MONTGOMERY AVE, SPOKANE, WA 99207-2674
(509) 354-6321
Mailing address
1001 E MONTGOMERY AVE, SPOKANE, WA 99207-2674
(509) 354-6321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 5335
WA

Other

Enumeration date
10/16/2012
Last updated
10/16/2012
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