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1831467000
ALISA S BRAKE
GREENSBORO, NC
NPI
1831467000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 131927)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
Mrs. ALISA S BRAKE RN
1100 E WENDOVER AVE
GREENSBORO, NC 27405-6713
Phone number: 336-641-3245
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Mailing Address
Mrs. ALISA S BRAKE RN
120 BROOKTON CT
CLEMMONS, NC 27012-7703
Phone number: 336-391-1225
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