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Organization

NUBIANCE INC

Active
Other names
Bacchus Financial Resources
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANTEL SHENISE BACCHUS (FOUNDING MEMBER)
(262) 327-0228
Entity
Organization

Contact information

Practice address
N103W14660 HAWKEYE CT, GERMANTOWN, WI 53022-5335
(262) 327-0228
Mailing address
N103W14660 HAWKEYE CT, GERMANTOWN, WI 53022-5335
(262) 327-0228

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/19/2022
Last updated
08/19/2022
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