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Individual

GREGORY PAUL BROTHERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HAS

Contact information

Practice address
819 S STATE HIGHWAY 49, 819 S STATE HIGHWAY 49, JACKSON, CA 95642-2622
(209) 223-2436
(209) 257-0729
Mailing address
819 S STATE HIGHWAY 49, JACKSON, CA 95642-2622
(209) 223-2436
(209) 257-0729

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2805
CA

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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