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1306250709
PHALLA POV-BRANTLE
FRESNO, CA
NPI
1306250709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 23738)
Enumeration Date
2014-06-13
Last Update Date
2016-03-29
Business Address
-- PHALLA POV-BRANTLE
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-436-4500
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Mailing Address
-- PHALLA POV-BRANTLE
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-436-4500
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