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1134792948
BRANDI OLIVER
JOHNSON CITY, TN
NPI
1134792948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN95502)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
BRANDI OLIVER LPN
WATAUGA BEHAVIORAL HEALTH SERVICES 109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37601
Phone number: 423-232-2600
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Mailing Address
BRANDI OLIVER LPN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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