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Individual

MR. BRICE CABLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AA

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U4220208304
CIGNA
Enumeration date
08/24/2020
Last updated
08/08/2023
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