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1346686086
AMY MICHELLE BRANHAM
SPRINGFIELD, IL
NPI
1346686086
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Former Name
AMY MICHELLE SULLIVAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-010254)
Enumeration Date
2013-05-21
Last Update Date
2013-06-14
Business Address
-- AMY MICHELLE BRANHAM FNP-BC
301 N 8TH ST SUITE PAV 4B
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-8000
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Mailing Address
-- AMY MICHELLE BRANHAM FNP-BC
PO BOX 19665
SPRINGFIELD, IL 62794-9665
Phone number: 217-545-8000
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