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1538925698
JOHN BRANT
SALEM, OR
NPI
1538925698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 10022207)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
JOHN BRANT
528 COTTAGE ST NE STE 320
SALEM, OR 97301-3788
Phone number: 503-339-7355
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Mailing Address
JOHN BRANT
1856 RYE LN NW
SALEM, OR 97304-1308
Phone number: 503-508-8687
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