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Individual

SEAN ERIC BRAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3381 E GODFREY DR, WASILLA, AK 99654-0320
(907) 357-8640
(907) 357-8630
Mailing address
3381 E GODFREY DR, WASILLA, AK 99654-0320
(907) 357-8640
(907) 357-8630

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
30938
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EM9194
AK
Enumeration date
05/27/2008
Last updated
05/27/2008
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