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Individual

BAILEY JEANNE ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
40 DAVIS STRAITS, FALMOUTH, MA 02540-3906
(774) 255-3010
Mailing address
6 3RD ST, HARWICH, MA 02645
(508) 523-2103

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110178427A
MASSHEALTH
MA
Enumeration date
10/03/2021
Last updated
02/01/2022
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