Individual
BRANDON RUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 DELANEY DR, JACKSONVILLE, NC 28546-8220
(817) 727-3191
Mailing address
512 DELANEY DR, JACKSONVILLE, NC 28546-8220
(817) 727-3191
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
01/21/2015
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