LORY FELECIA BRANTLEY

KENOSHA, WI
NPI1275728081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  128116)
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
Mrs. LORY FELECIA BRANTLEY rn
4606 10TH AVE
KENOSHA, WI 53140-3308
Phone number: 262-748-5290
Mailing Address
Mrs. LORY FELECIA BRANTLEY rn
4606 10TH AVE
KENOSHA, WI 53140-3308
Phone number: 262-748-5290
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