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Individual

ALICE BRANGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4250 E FLORIAN AVE, BLDG 1, MESA, AZ 85206-2797
(480) 969-3800
(480) 644-1557
Mailing address
924 N COUNTRY CLUB DR, MESA, AZ 85201-4108
(480) 969-3800
(480) 644-1557

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/01/2010
Last updated
10/01/2010
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