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1831958321
CHRISTOPHER ELI BACILLA
SAVANNAH, GA
NPI
1831958321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
CHRISTOPHER ELI BACILLA
1101 LEXINGTON AVE
SAVANNAH, GA 31404-5502
Phone number: 912-350-7573
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Mailing Address
CHRISTOPHER ELI BACILLA
1101 LEXINGTON AVE
SAVANNAH, GA 31404-5502
Phone number: 912-350-7573
Copy
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