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1447814264
ERIC BRANTLEY
TALLAHASSEE, FL
NPI
1447814264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA16167)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
ERIC BRANTLEY
4500 W SHANNON LAKES DR STE 3
TALLAHASSEE, FL 32309-2240
Phone number: 850-391-3873
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Mailing Address
ERIC BRANTLEY
4500 W SHANNON LAKES DR STE 3
TALLAHASSEE, FL 32309-2240
Phone number: 850-391-3873
Copy
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