Individual
DAWN E BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
210 MOORE DR, FRANKLIN, OH 45005
(937) 416-4768
Mailing address
210 MOORE DR, FRANKLIN, OH 45005
(937) 416-4768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-119013
OH
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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