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1619157427
ELISA K BRANTLY
STANTON, TX
NPI
1619157427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TX N9435)
Enumeration Date
2007-11-08
Last Update Date
2023-11-15
Business Address
Dr. ELISA K BRANTLY MD
600 EAST INTERSTATE 20
STANTON, TX 79782-0640
Phone number: 432-607-3644
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Mailing Address
Dr. ELISA K BRANTLY MD
PO BOX 640
STANTON, TX 79782-0640
Phone number: 432-607-3225
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