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1275926255
DONNA BRANTLEY
MARYVILLE, TN
NPI
1275926255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 19748)
Enumeration Date
2015-03-14
Last Update Date
2024-01-30
Business Address
DONNA BRANTLEY
349 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5820
Phone number: 865-980-5044
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Mailing Address
DONNA BRANTLEY
103 W BROADWAY AVE
MARYVILLE, TN 37801-4703
Phone number: 865-273-1752
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