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1063008654
BRANDON ANTHONY
HAMPTON, VA
NPI
1063008654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: VA 0002090007)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
BRANDON ANTHONY
323 FOUNTAIN WAY
HAMPTON, VA 23666-4221
Phone number: 818-447-2004
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Mailing Address
BRANDON ANTHONY
323 FOUNTAIN WAY
HAMPTON, VA 23666-4221
Phone number:
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