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1194413138
MARIE IDA BAKOU
LA VISTA, NE
NPI
1194413138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NE 26147)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
MARIE IDA BAKOU
6949 S 110TH ST
LA VISTA, NE 68128-5721
Phone number: 402-597-4947
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Mailing Address
MARIE IDA BAKOU
6949 S 110TH ST
LA VISTA, NE 68128-5721
Phone number: 402-597-4947
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