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Individual

BRANDON GEORGE MCMAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
10172 KEPPLER DR, SAN DIEGO, CA 92124-2504
(561) 628-8901
Mailing address
10172 KEPPLER DR, SAN DIEGO, CA 92124-2504
(561) 628-8901

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
10/02/2017
Last updated
10/02/2017
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