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Individual
BRAYTON JONES
Active
Individual
BRAYTON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201255260
—
IN
01
—
P01512495
RR MEDICARE
IN
Enumeration date
10/09/2014
Last updated
11/20/2015
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