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Individual

LEE ANN SLAYTONBRAUTOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LEE

Contact information

Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(209) 526-2811
Mailing address
PO BOX 51, TWAIN HARTE, CA 95383-0051
(831) 801-6661

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
AT3437
CA

Other

Enumeration date
10/05/2018
Last updated
10/05/2018
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