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Individual
BRIANT ALDONTA BATES
Active
Individual
BRIANT ALDONTA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
91761634575347
SC
Other
Enumeration date
10/17/2022
Last updated
10/22/2022
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