Individual
MRS. BRANDI LEI COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
332 FAIRVIEW AVE, GALION, OH 44833-2012
(419) 689-3330
Mailing address
332 FAIRVIEW AVE, GALION, OH 44833-2012
(419) 689-3330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN128833
OH
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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