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Individual

MS. LISA BRAREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AP

Contact information

Practice address
62 PLAYERS CLUB VILLAS RD, PONTE VEDRA BEACH, FL 32082-3103
(904) 772-5719
Mailing address
62 PLAYERS CLUB VILLAS RD, PONTE VEDRA BEACH, FL 32082-3103
(904) 772-5719

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2837
FL

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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