BRANDON LEE PHELPS

DAYTON, OH
NPI1063106839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  170217)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
BRANDON LEE PHELPS
8091 BACK BAY CT APT 2A
DAYTON, OH 45458-1766
Phone number: 513-496-6968
Mailing Address
BRANDON LEE PHELPS
8091 BACK BAY CT APT 2A
DAYTON, OH 45458-1766
Phone number: 151-359-4062
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