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1831454099
MARY BRANTLEY JOHNSON
RALEIGH, NC
NPI
1831454099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5005703)
Enumeration Date
2012-07-12
Last Update Date
2014-01-08
Business Address
-- MARY BRANTLEY JOHNSON FNP
7900 OLD WAKE FOREST RD
RALEIGH, NC 27616-3319
Phone number: 919-790-1024
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Mailing Address
-- MARY BRANTLEY JOHNSON FNP
136 CRICKETGRASS DR
CARY, NC 27513-2764
Phone number: 919-889-2223
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