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1215411954
SPENCER LAMONT BRANTLE
FRESNO, CA
NPI
1215411954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA NP95009882)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
SPENCER LAMONT BRANTLE NP
7471 N FRESNO STREET
FRESNO, CA 93720-9372
Phone number: 559-981-5566
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Mailing Address
SPENCER LAMONT BRANTLE NP
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-981-5566
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