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NPI Profile for JETTIE I BAILEY in CLINTON, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI Number | 1316108590 |
|
| Status | Active | |
| Credentials | BSN RN CWON | |
| Entity | Individual | |
| Enumeration date | 06/20/2008 | |
| Last updated | 06/20/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JETTIE I BAILEY
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JETTIE I BAILEY, BSN RN CWON