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1053051912
ABRISHA LYNN BRANTLEY
KENOSHA, WI
NPI
1053051912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 326504-31)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
ABRISHA LYNN BRANTLEY
5814 10TH AVE
KENOSHA, WI 53140-4009
Phone number: 262-873-7812
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Mailing Address
ABRISHA LYNN BRANTLEY
5814 10TH AVE
KENOSHA, WI 53140-4009
Phone number: 262-873-7812
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