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1093018061
BENNEDICTA STUCKEY
FAIRFIELD, OH
NPI
1093018061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN141676)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
BENNEDICTA STUCKEY
2222 ALBEMARLE DR
FAIRFIELD, OH 45014-4389
Phone number: 859-420-8318
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Mailing Address
BENNEDICTA STUCKEY
2222 ALBEMARLE DR
FAIRFIELD, OH 45014-4389
Phone number: 859-420-8318
Copy
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