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1245002757
NIKKIA OBANNON LLC
BEDFORD, IN
NPI
1245002757
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Entity Type
Organization
Authorized Contact
NIKKIA ELIZABETH O'BANNON
Employee
812-276-5030
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2023-10-27
Last Update Date
2023-10-30
Business Address
NIKKIA OBANNON LLC
519 V ST
BEDFORD, IN 47421-1925
Phone number: 812-276-5030
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Mailing Address
NIKKIA OBANNON LLC
519 V ST
BEDFORD, IN 47421-1925
Phone number: 812-276-5030
Copy
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