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Individual

BRANDI MAGISTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
227 WOOD ST, WOODSON, TX 76491-2238
(940) 345-0389
Mailing address
227 WOOD ST, WOODSON, TX 76491-2238
(940) 345-0389

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7052
AK

Other

Enumeration date
11/29/2013
Last updated
11/29/2013
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