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Individual

BRANDY EGLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1647 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 877-6451
(814) 877-6297
Mailing address
5118 OLD ZUCK RD, ERIE, PA 16506-4916
(814) 877-6451
(814) 877-6297

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273204
PA

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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