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Elizabeth Bailum

Specialist/Technologist, Athletic Trainer in Miami, FL. Individual provider (NPI-1).

NPI number1912465675
StatusActive
Last updated in NPPESMar 12, 2019

Details

NPI
1912465675
Entity type
Individual (NPI-1)
Name
Elizabeth Bailum
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 12, 2019
Last updated
Mar 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

15620 Sw 10th Ln
Miami, FL 33194-2755

Phone 812-929-1366

Mailing address

5360 W Sycks Ct
Bloomington, IN 47404-9653

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