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Individual

BRANDIE MIYA STALLWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 WINKLER ST, CINCINNATI, OH 45219-1867
(513) 203-4776
Mailing address
101 WINKLER ST, 101 WINKLER, CINCINNATI, OH 45219-1867
(513) 203-4776

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
RT238430
OH

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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