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1194349548
JESSICA LYNN BRANTLEY
WEST MONROE, LA
NPI
1194349548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 208776)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
Ms. JESSICA LYNN BRANTLEY
412 EVERGREEN ST
WEST MONROE, LA 71292-6422
Phone number: 318-801-5496
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Mailing Address
Ms. JESSICA LYNN BRANTLEY
412 EVERGREEN ST
WEST MONROE, LA 71292-6422
Phone number:
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