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Individual

BRAELIN WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532
(973) 882-3456
Mailing address
188 FAIRBURN RD SW, ATLANTA, GA 30331-4044
(404) 713-7193

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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