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Individual

JAYDY A BAEZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
706 EVERGREEN ST, BORGER, TX 79007-6438
(806) 886-6568
Mailing address
706 EVERGREEN ST, BORGER, TX 79007-6438
(806) 886-6568

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217452
TX

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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