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Individual
OLESYA BRISSEY
Active
Individual
OLESYA BRISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
132988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A132988
STATE LICENSE
CA
Enumeration date
12/04/2014
Last updated
11/10/2015
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