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1356878094
SHAVON BACCHUS
SPARTANBURG, SC
NPI
1356878094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 201828)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- SHAVON BACCHUS
151 E WOOD ST
SPARTANBURG, SC 29303-3016
Phone number: 864-596-2227
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Mailing Address
-- SHAVON BACCHUS
269 BRIDGEPORT RD
BOILING SPRINGS, SC 29316-9304
Phone number: 864-596-2227
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