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Individual

ISATU BROPLEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 LATROBE DR STE B, CHARLOTTE, NC 28211-5227
(704) 780-4271
(888) 261-6694
Mailing address
5128 HICKORY VALLEY CT APT A, CHARLOTTE, NC 28212-8448
(215) 475-1697

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NC

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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