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1982937942
ANGELIA MARIE JAQUES
DAYTON, OH
NPI
1982937942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN-135783-IV)
Enumeration Date
2009-09-09
Last Update Date
2009-09-09
Business Address
-- ANGELIA MARIE JAQUES lpn
4603 AIRWAY RD
DAYTON, OH 45431-1332
Phone number: 937-414-2864
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Mailing Address
-- ANGELIA MARIE JAQUES lpn
4603 AIRWAY RD
DAYTON, OH 45431-1332
Phone number: 937-414-2864
Copy
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