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Individual

MISS BRANDY LYNN MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5692 EVANS RD, CABLE, OH 43009-9606
(567) 204-5606
Mailing address
5692 EVANS RD, CABLE, OH 43009-9606
(567) 204-5606

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.130957
OH

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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