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1184768392
BRANDY LOU VANNATTER
MADISON, WV
NPI
1184768392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 2142)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
-- BRANDY LOU VANNATTER do
701 MADISON AVE
MADISON, WV 25130-1669
Phone number: 304-369-1230
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Mailing Address
-- BRANDY LOU VANNATTER do
810 MIDDLE HORSE CREEK RD
JULIAN, WV 25529-9617
Phone number: 304-369-3050
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