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Individual
LEAH NICOLE BRUNIE
Active
Individual
LEAH NICOLE BRUNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN304442-COA1
OH
363L00000X
Nurse Practitioner
Primary
61070761
WA
363LF0000X
Family Nurse Practitioner
COA09814-NP
OH
Other
Enumeration date
02/16/2011
Last updated
06/19/2020
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