Individual
MR. DONALD SHANE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Mailing address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
048016
MO
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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