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Individual

BRENT JACOB BROSNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
68982 WILLOW CREEK RD # 536, HEPPNER, OR 97836-6258
(541) 676-5125
(541) 676-5186
Mailing address
68982 WILLOW CREEK RD # 536, HEPPNER, OR 97836-6258
(541) 676-5125
(541) 676-5186

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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