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Organization
VISAGE INTEGRATIVE MEDICINE, LLC
Active
Organization
VISAGE INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANN BRUNDRETT MD (OWNER/PROVIDER)
(325) 234-2181
Entity
Organization
Contact information
Practice address
3144 EXECUTIVE DR, SAN ANGELO, TX 76904-6802
(325) 617-4594
(324) 617-4593
Mailing address
3144 EXECUTIVE DR, SAN ANGELO, TX 76904-6802
(325) 617-4594
(324) 617-4593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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