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Individual

BRENDAN DURAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2947 UNICORNIO ST APT A, CARLSBAD, CA 92009-4441
(217) 553-8662
Mailing address
2947 UNICORNIO ST APT A, CARLSBAD, CA 92009-4441
(217) 553-8662

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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