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Individual

CORY BRAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
2920 HERITAGE OAK WAY, LODI, CA 95242-2057
(209) 401-9141
Mailing address
2920 HERITAGE OAK WAY, LODI, CA 95242-2057
(209) 401-9141

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
554471
CA

Other

Enumeration date
12/05/2024
Last updated
12/05/2024
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