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1033405105
BRENDAN THELEN
SACRAMENTO, CA
NPI
1033405105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-06-27
Last Update Date
2022-02-11
Business Address
-- BRENDAN THELEN MD
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2724
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Mailing Address
-- BRENDAN THELEN MD
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2724
Copy
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