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Individual

MRS. BRENDA BROOKS LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4703083436
MI

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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