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Individual

MR. BRIAN SCOTT BUCACCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
18415 HIGHLAND DR, MAPLE HEIGHTS, OH 44137-1553
(864) 305-7741
Mailing address
18415 HIGHLAND DR, MAPLE HEIGHTS, OH 44137-1553
(864) 305-7741

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-489892
OH

Other

Enumeration date
04/22/2024
Last updated
04/22/2024
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