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1023570793
MODENA BRANTLEY
WARREN, OH
NPI
1023570793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
MODENA BRANTLEY
2470 WILLOW DR SW
WARREN, OH 44485-3348
Phone number: 330-984-8793
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Mailing Address
MODENA BRANTLEY
2470 WILLOW DR SW
WARREN, OH 44485-3348
Phone number: 330-984-8793
Copy
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