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Individual
SANDRA BRUTUS
Active
Individual
SANDRA BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293577-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293577-1
LICENSE PRACTICAL NURSE
NY
Enumeration date
07/02/2010
Last updated
07/02/2010
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