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Individual

ETHAN BRAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
RN

Contact information

Practice address
1200 W SPEEDWAY BLVD, TUCSON, AZ 85745-2326
(520) 770-3658
Mailing address
37 BRAINTREE DR, WEST HARTFORD, CT 06117-2317
(860) 597-8211

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
273204
AZ

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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