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Kelly Renee Braswell

NPI Registration Record

Provider / OrganizationNPIDate Certified
KELLY RENEE BRASWELL19428277042020-06-28
Entity TypeIndividual
Provider Name Kelly Renee Braswell LPN
Practice Office Address1601 E 4TH PLAIN BLVD
VANCOUVER, WA US
Practice Office Telephone3609499292
Mailing Address1601 E 4TH PLAIN BLVD
VANCOUVER, WA 986613713 US
Business Telephone3609499292
HPT Codes
CodeLicense NoState
164W00000X PRIMARY60339791 WA
OPI Codes

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