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1023015682
ROBERTA WRIGHT BRANDT
JACKSON, MI
NPI
1023015682
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Former Name
ROBERTA FULL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003939)
Enumeration Date
2005-06-28
Last Update Date
2021-01-28
Business Address
ROBERTA WRIGHT BRANDT MS, PA-C
544 WILDWOOD AVE
JACKSON, MI 49201-1013
Phone number: 517-780-0838
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Mailing Address
ROBERTA WRIGHT BRANDT MS, PA-C
505 N JACKSON ST
JACKSON, MI 49201-1266
Phone number: 517-748-5500
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