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Individual

DENISE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
3880 STOCKTON HILL RD, #103-327, KINGMAN, AZ 86409-0595
(928) 692-6411
Mailing address
3880 STOCKTON HILL RD, #103-327, KINGMAN, AZ 86409-0595

Taxonomy

Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
106513
OR
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
CRT-8032
AZ
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
RHT00089992
CA

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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