Individual
MRS. BRENDA KAY HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12450 US HIGHWAY 62, LEESBURG, OH 45135-9686
(937) 780-7228
Mailing address
12450 US HIGHWAY 62, LEESBURG, OH 45135-9686
(937) 780-7228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 118514 MEDS
OH
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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