Individual
BAILEY NOEL BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 OHIO AVE, JOPLIN, MO 64804-2856
(916) 960-6793
Mailing address
2830 OHIO AVE, JOPLIN, MO 64804-2856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
08/12/2021
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