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1285662551
JOHN J. BRANTLEY
PUEBLO, CO
NPI
1285662551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CO 21135)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Dr. JOHN J. BRANTLEY M.D.
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4312
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Mailing Address
Dr. JOHN J. BRANTLEY M.D.
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4312
Copy
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