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1427438829
BREANNA M DETRICK
COLUMBUS, OH
NPI
1427438829
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Former Name
BREANNA M TANLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.17379-NP)
Enumeration Date
2015-06-02
Last Update Date
2024-10-07
Business Address
BREANNA M DETRICK CNP
3830 OLENTANGY RIVER RD
COLUMBUS, OH 43214-5404
Phone number: 614-788-8334
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Mailing Address
BREANNA M DETRICK CNP
PO BOX 7527
DUBLIN, OH 43017-0727
Phone number: 614-788-8334
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