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Individual

BRANDON GENE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3784 SILAX DR, HAMILTON, OH 45013-8680
(513) 373-5150
Mailing address
5809 LAYHIGH RD, OKEANA, OH 45053-9551
(513) 200-0973

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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