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Individual

JASON BRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 690-3237
Mailing address
PO BOX 947, OXFORD, NC 27565-0947

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5520
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14141
BLUECROSS
NC
Enumeration date
02/26/2007
Last updated
07/08/2007
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