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1033565544
PHILIP JOHN BRERETON
STOCKTON, CA
NPI
1033565544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: NV C52250)
Enumeration Date
2016-05-13
Last Update Date
2016-05-13
Business Address
Mr. PHILIP JOHN BRERETON CO
466 E HARDING WAY
STOCKTON, CA 95204
Phone number: 209-466-2546
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Mailing Address
Mr. PHILIP JOHN BRERETON CO
961 MATLEY LN STE 100
RENO, NV 89502-2100
Phone number: 775-323-8118
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