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1649852450
LANESSA RENEE BRANT
LATHAM, NY
NPI
1649852450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024181259)
Enumeration Date
2021-04-22
Last Update Date
2022-08-01
Business Address
LANESSA RENEE BRANT Nurse Practitioner
38A OLD SPARROWBUSH RD
LATHAM, NY 12110-2927
Phone number: 315-469-8700
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Mailing Address
LANESSA RENEE BRANT Nurse Practitioner
3152 SYBILLA ST
CHESAPEAKE, VA 23323-1413
Phone number: 757-969-2965
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