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Individual

VICKI BAILLON

Active
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Individual

VICKI BAILLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-17728
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
654792
TEXAS BOARD OF NURSING
TX
01
L-17728
IBCLC
TX
Enumeration date
12/05/2017
Last updated
12/05/2017
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