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Individual

MRS. BRANDY R JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10752 ALLEN RD NW, WASHINGTON COURT HOUSE, OH 43160-8813
(740) 505-1484
Mailing address
10752 ALLEN RD NW, WASHINGTON COURT HOUSE, OH 43160-8813
(740) 505-1484

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
132587
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YRP165M55237
ANTHEM
OH
Enumeration date
03/16/2012
Last updated
03/16/2012
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