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Individual

MRS. BRANDI NACHOLE RUNYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
183 E 2ND AVE, WILLIAMSON, WV 25661-3601
(304) 928-3018
Mailing address
767 DANS BRANCH RD, WILLIAMSON, WV 25661-9122
(304) 235-2574

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009-2556
WV

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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