Individual
MS. BOBBIE LYNN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
645 HADLEY AVE, KETTERING, OH 45419-2706
(937) 643-0054
Mailing address
645 HADLEY AVE, KETTERING, OH 45419-2706
(937) 643-0054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-094555
OH
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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