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Individual
BREANNA L LAUDICK
Active
Individual
BREANNA L LAUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.005874RX
OH
Other
Enumeration date
02/14/2019
Last updated
02/15/2023
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