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1861804221
FIDELE KOUMANIMBEN
FAIRFIELD, OH
NPI
1861804221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn.151506-M-IV)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
-- FIDELE KOUMANIMBEN PN.151506-M-IV
5254 CAMELOT DR APT D
FAIRFIELD, OH 45014-4022
Phone number: 513-497-8095
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Mailing Address
-- FIDELE KOUMANIMBEN PN.151506-M-IV
5254 CAMELOT DR APT D
FAIRFIELD, OH 45014-4022
Phone number: 513-497-8095
Copy
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