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1063106839
BRANDON LEE PHELPS
DAYTON, OH
NPI
1063106839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 170217)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
BRANDON LEE PHELPS
8091 BACK BAY CT APT 2A
DAYTON, OH 45458-1766
Phone number: 513-496-6968
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Mailing Address
BRANDON LEE PHELPS
8091 BACK BAY CT APT 2A
DAYTON, OH 45458-1766
Phone number: 151-359-4062
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