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1104586189
BRANDIE LEE BROGDON
MULLINS, SC
NPI
1104586189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC P-70040)
Enumeration Date
2021-12-18
Last Update Date
2021-12-18
Business Address
Miss BRANDIE LEE BROGDON Lpn
206 AIRPORT CT
MULLINS, SC 29574-6196
Phone number: 843-423-8295
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Mailing Address
Miss BRANDIE LEE BROGDON Lpn
837 E SELLERS RD
MARION, SC 29571-6417
Phone number: 843-610-6849
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