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Individual

BAILEY CONRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
53 RICHLAND AVE, ATHENS, OH 45701-2745
(740) 605-7129
Mailing address
68 S GREEN DR, ATHENS, OH 45701-3140

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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