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Amanda Bracken
NPI 1881082568 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4915 Richelieu Ave
Sheffield Lake, OH 44054 - Phone
- (440) 829-5668
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio