Individual
DEBRA SUE BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6351 W SMITH RD, MEDINA, OH 44256-7714
(330) 416-0491
Mailing address
6351 W SMITH RD, MEDINA, OH 44256-7714
(330) 416-0491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.161529.MEDS-IV
OH
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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