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Individual
VICTOR BRACEY
Active
Individual
VICTOR BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
J3-0000526
DE
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
RTO000207
PA
Other
Enumeration date
04/25/2016
Last updated
12/29/2016
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