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Individual

MRS. BRANDY MARIE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
15800 LITTLE RICHMOND RD, NEW LEBANON, OH 45345-9714
(937) 687-0903
(937) 687-0903
Mailing address
15800 LITTLE RICHMOND RD, NEW LEBANON, OH 45345-9714
(937) 687-0903
(937) 687-0903

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 118233
OH

Other

Enumeration date
03/29/2008
Last updated
03/29/2008
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