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Individual
MR. BRANDON MICHAEL COBURN
Active
Individual
MR. BRANDON MICHAEL COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
305118
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
305118
NY
363LX0106X
Occupational Health Nurse Practitioner
305118
NY
Other
Enumeration date
04/17/2009
Last updated
02/10/2015
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