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Individual

KENT A BRUSETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 EAST ST, STE 220, REDDING, CA 96001-1153
(530) 247-8200
(530) 247-8202
Mailing address
1555 EAST ST STE 220, REDDING, CA 96001-1153
(530) 247-8200

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G86006
CA

Other

Enumeration date
06/09/2005
Last updated
08/29/2022
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