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NPI Profile for ODETTE B BAGOB in FUQUAY VARINA, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1881414910 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/14/2024 | |
| Last updated | 10/14/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ODETTE B BAGOB
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ODETTE B BAGOB, RN