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Individual

MRS. DANA MARIE BRASHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5084 GRANITE ST, LOVES PARK, IL 61111-3324
(779) 348-9388
(815) 282-2034
Mailing address
5084 GRANITE ST, LOVES PARK, IL 61111-3324
(779) 348-9388
(815) 282-2034

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041252385
IL
163W00000X
Registered Nurse
15031630
WI

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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