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1750840781
BRANDY VAZQUEZ
SALEM, OR
NPI
1750840781
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Former Name
BRANDY GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201811529LPN)
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
BRANDY VAZQUEZ LPN
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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Mailing Address
BRANDY VAZQUEZ LPN
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
Copy
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