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1396102224
MARILYN JOSEPH BACCHUS
NORTHPORT, NY
NPI
1396102224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: NY 22-582918)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
Ms. MARILYN JOSEPH BACCHUS RN
23 BRITTANY CT
NORTHPORT, NY 11768-3225
Phone number: 631-834-5422
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Mailing Address
Ms. MARILYN JOSEPH BACCHUS RN
190 HEATHCOTE RD
ELMONT, NY 11003-2006
Phone number: 516-587-4784
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