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Individual

BRANDY NICHOLE EHRENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
704 E CLARK ST, WAUSA, NE 68786-1566
(580) 216-5417
Mailing address
704 E CLARK ST, WAUSA, NE 68786-1566
(580) 216-5417

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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