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Individual

GEANNINE BRITANAK-GULAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111
Mailing address
166 THOMPSON DR, BRIDGEPORT, WV 26330-1644
(304) 842-6001
(304) 842-6111

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25376
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25376
LPN
WA
Enumeration date
07/06/2006
Last updated
07/08/2007
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