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Individual
BRETTE WILSON MARTIN
Active
Individual
BRETTE WILSON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R198345
MD
Other
Enumeration date
11/01/2012
Last updated
03/11/2020
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