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1194184150
TRACIE MARAVILLA BRAN
LOUISVILLE, KY
NPI
1194184150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010095)
Enumeration Date
2016-02-18
Last Update Date
2016-02-29
Business Address
-- TRACIE MARAVILLA BRAN APRN
140 WHITTINGTON PKWY 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
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Mailing Address
-- TRACIE MARAVILLA BRAN APRN
2159 FORTUNE HILL LN
LEXINGTON, KY 40509-4140
Phone number: 859-492-5968
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