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1346299773
JONATHAN NATHANIEL BRANTLEY
RICHMOND, VA
NPI
1346299773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
213E00000X Podiatrist
(Licence: VA 0103000902)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
DR. JONATHAN NATHANIEL BRANTLEY D.P.M.
1201 BROAD ROCK BLVD SURGICAL SERVICE (112H)
RICHMOND, VA 23249-0001
Phone number: 804-675-5112
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Mailing Address
DR. JONATHAN NATHANIEL BRANTLEY D.P.M.
1201 BROAD ROCK BLVD SURGICAL SERVICE (112H)
RICHMOND, VA 23249-0001
Phone number: 804-675-5112
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