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Individual

BRENT WHITTALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 505-5700
Mailing address
4635 UNION RD, BUFFALO, NY 14225-1851
(716) 505-5700

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
723503
NY

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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