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1942201413
WILLA L BRANTLEY
SAINT LOUIS, MO
NPI
1942201413
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Former Name
WILLA L GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 151593)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Mrs. WILLA L BRANTLEY RN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Mrs. WILLA L BRANTLEY RN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Copy
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