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1013327865
ANGELA SELENA BRANTLEY
SOUTHFIELD, MI
NPI
1013327865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111095)
Enumeration Date
2014-05-02
Last Update Date
2014-05-02
Business Address
MISS ANGELA SELENA BRANTLEY LPN
26705 W CARNEGIE PARK DR
SOUTHFIELD, MI 48034-6164
Phone number: 313-648-2259
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Mailing Address
MISS ANGELA SELENA BRANTLEY LPN
26705 W CARNEGIE PARK DR
SOUTHFIELD, MI 48034-6164
Phone number: 313-648-2259
Copy
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