BREON JERMAINE BACKUS

COLUMBUS, OH
NPI1508205576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.152004-M-IV)
Enumeration Date2013-06-22
Last Update Date2013-06-22
Business Address
MR. BREON JERMAINE BACKUS LPN
1833 BROOKFIELD RD
COLUMBUS, OH 43229-3703
Phone number: 614-917-9341
Mailing Address
MR. BREON JERMAINE BACKUS LPN
1833 BROOKFIELD RD
COLUMBUS, OH 43229-3703
Phone number: 614-917-9341
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