Individual
BRANDON DUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 VANDEVENTER PL, KENNETT, MO 63857-2934
(573) 717-6016
Mailing address
220 VANDEVENTER PL, KENNETT, MO 63857-2934
(573) 717-6016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2013028213
MO
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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