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1912660150
MICHAEL BACANI
DEER PARK, WA
NPI
1912660150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: WA RN00173450)
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
MICHAEL BACANI
6225 W MASON RD
DEER PARK, WA 99006-9529
Phone number: 509-209-3182
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Mailing Address
MICHAEL BACANI
224 N PHILLIPS AVE STE 102
SIOUX FALLS, SD 57104-6062
Phone number: 800-478-8223
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