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1609659382
REBELL DEACON
COLUMBUS, OH
NPI
1609659382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 166502)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
REBELL DEACON
5891 RIVERTON RD
COLUMBUS, OH 43232-1650
Phone number: 614-625-3468
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Mailing Address
REBELL DEACON
5891 RIVERTON RD
COLUMBUS, OH 43232-1650
Phone number: 614-625-3468
Copy
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