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1942891569
NICHOLAS BRANTLEY
PANAMA CITY, FL
NPI
1942891569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010854)
Enumeration Date
2021-01-27
Last Update Date
2024-03-14
Business Address
NICHOLAS BRANTLEY
5524 MARS HILL LN
PANAMA CITY, FL 32404-4327
Phone number: 727-804-8193
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Mailing Address
NICHOLAS BRANTLEY
5524 MARS HILL LN
PANAMA CITY, FL 32404-4327
Phone number: 727-804-8193
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