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Individual

ILIAS BAIDJIEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12001 CARRINGTON LN APT 205, LOVELAND, OH 45140-6294
(347) 484-2022
Mailing address
12001 CARRINGTON LN APT 205, LOVELAND, OH 45140-6294
(347) 484-2022

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.409786
OH

Other

Enumeration date
02/12/2015
Last updated
02/12/2015
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