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1386035020
CAMILLE BACCUS
DAYTON, OH
NPI
1386035020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 155961)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
-- CAMILLE BACCUS
5228 SHASTA AVE
DAYTON, OH 45417-9113
Phone number: 937-732-1185
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Mailing Address
-- CAMILLE BACCUS
5228 SHASTA AVE
DAYTON, OH 45417-9113
Phone number:
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