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Individual

BRANDI LEIGH SOBALVARRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
218 COLLOPY CT, DAYTON, OH 45433-1302
(210) 204-4808

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary

Other

Enumeration date
04/17/2014
Last updated
04/17/2014
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