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MRS. LOIS MARIE BRANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
316 INDIAN RIDGE BLVD, MISHAWAKA, IN 46545-9034
(800) 635-5516
Mailing address
328 N MICHIGAN ST, SUITE 200, SOUTH BEND, IN 46601-1244
(574) 647-1069
(574) 647-1825

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001004A
IN

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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