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1871313544
GLENN CLAYTON BRANTLEY
COLUMBIA, SC
NPI
1871313544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 29080)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
Mr. GLENN CLAYTON BRANTLEY FNP
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-865-4934
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Mailing Address
Mr. GLENN CLAYTON BRANTLEY FNP
2750 LAUREL ST STE 103
COLUMBIA, SC 29204-2023
Phone number:
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