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Individual

BRANDY JEANNE HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-5357
Mailing address
6130 SEAMAN RD, OREGON, OH 43616-4230
(419) 376-7213

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704314453
MI

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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