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Individual

POLLY ANN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6370 JIMARY LN, GLADWIN, MI 48624-9247
(989) 240-0758
Mailing address
6370 JIMARY LN, GLADWIN, MI 48624-9247
(989) 240-0758

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703100530
MI

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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