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1114674645
ANISSA BRANT CLARK
ROANOKE, VA
NPI
1114674645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: VA 0001226621)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
Mrs. ANISSA BRANT CLARK RN
929 ESTATES RD SE
ROANOKE, VA 24014-4307
Phone number: 540-676-4806
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Mailing Address
Mrs. ANISSA BRANT CLARK RN
929 ESTATES RD SE
ROANOKE, VA 24014-4307
Phone number: 540-676-4806
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