DARRELL BRISBANE

BARTOW, FL
NPI1346728334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
DARRELL BRISBANE
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
Mailing Address
DARRELL BRISBANE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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