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1639922891
STEVEN CRAIG BRANTLEY
ROSEBURG, OR
NPI
1639922891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR PG220310)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
STEVEN CRAIG BRANTLEY DO
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 672-959-6541
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Mailing Address
STEVEN CRAIG BRANTLEY DO
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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