Individual
MS. BRENDA LEE EAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22290 CENTER RD, ALLIANCE, OH 44601-9061
(330) 525-0192
Mailing address
22290 CENTER RD, ALLIANCE, OH 44601-9061
(330) 525-0192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN077325
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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