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BREANN ABRAHAM HS DIPLOMA

>> Specialist >> Other Service Providers

Registrant NPI Number: 1063864205

Individual Registrant:
 BREANN  ABRAHAM HS DIPLOMA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2630 W RUMBLE RD  MODESTO, CA 95350-0155 US
Tel: 209-579-9444  Fax: 209-579-9494

Contact information for business:
2630 W RUMBLE RD  MODESTO, CA 95350-0155 US
Tel: 209-579-9444  Fax: 209-579-9494

Registration Information:
NPI: 1063864205
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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