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Individual

MS. BRENDA LEE FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3122 BULL CREEK RD, LAURELVILLE, OH 43135-9605
(740) 655-3039
Mailing address
3122 BULL CREEK RD, LAURELVILLE, OH 43135-9605
(740) 655-3039

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2721602
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2721602
OH
Enumeration date
06/14/2015
Last updated
06/14/2015
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