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Individual

BRANDI MICHELLE BURNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2818 INWOOD RD, TEMPLE, TX 76502-1317
(254) 295-7712
Mailing address
2818 INWOOD RD, TEMPLE, TX 76502-1317
(254) 295-7712

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
184884
TX

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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