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1144320540
MITCHELL BRANTLEY
PENSACOLA, FL
NPI
1144320540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME87928)
Enumeration Date
2006-09-25
Last Update Date
2008-02-06
Business Address
-- MITCHELL BRANTLEY
1000 W MORENO ST
PENSACOLA, FL 32501
Phone number: 850-434-4011
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Mailing Address
-- MITCHELL BRANTLEY
P O BOX 409703
ATLANTA, GA 30384-7903
Phone number: 770-874-5400
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