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Individual

MRS. ROBIN JOYCE BROCIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
330 OAK MANOR DR, GLEN BURNIE, MD 21061-5509
(410) 222-6420
Mailing address
407 JEROME AVE, LINTHICUM, MD 21090-2065
(410) 684-2586

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP19482
MD

Other

Enumeration date
04/25/2007
Last updated
07/09/2007
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