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Individual
ANGEL ANTONIO MEDINA-BRAVO
Active
Individual
ANGEL ANTONIO MEDINA-BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101249280
VA
208100000X
Physical Medicine & Rehabilitation Physician
233458
MA
Other
Enumeration date
05/01/2008
Last updated
10/13/2016
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