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Individual
MARTIN BREA
Active
Individual
MARTIN BREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA ATC LAT
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RT000246A
PA
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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