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1487197588
TEAH BRANDT
SYCAMORE, IL
NPI
1487197588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014996)
Enumeration Date
2016-11-22
Last Update Date
2019-09-13
Business Address
TEAH BRANDT
954 W STATE ST
SYCAMORE, IL 60178-1335
Phone number: 815-895-9144
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Mailing Address
TEAH BRANDT
4822 CATON FARM RD
PLAINFIELD, IL 60586-8262
Phone number: 800-323-8622
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