Individual
BROOK PURICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 JEFFERSON ST, WAUSEON, OH 43567-1118
(419) 822-7367
Mailing address
256 JEFFERSON ST, WAUSEON, OH 43567-1118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
180744.MEDS-IV
OH
Other
Enumeration date
06/04/2012
Last updated
04/21/2023
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