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Individual
CALEB BRACKETT
Active
Individual
CALEB BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
Primary
18332A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2015
Last updated
11/06/2025
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