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BRENDA LEE BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRFP

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0477
Mailing address
12104 GORES MILL RD, REISTERSTOWN, MD 21136-5852
(410) 833-5252

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
R097155
MD

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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