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Individual

BRANDON MARIE SALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-1812
Mailing address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(334) 796-6969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123047
AK
163W00000X
Registered Nurse
129495
AL
363LF0000X
Family Nurse Practitioner
Primary
124160
AK

Other

Enumeration date
06/30/2017
Last updated
06/30/2017
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