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Individual
JOHN BRENTLEY SEAL
Active
Individual
JOHN BRENTLEY SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD.207121
LA
208600000X
Surgery Physician
036124295
IL
Other
Enumeration date
12/02/2009
Last updated
10/24/2014
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