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1033696315
THEODORE WC BRENTON
SACRAMENTO, CA
NPI
1033696315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009430)
Enumeration Date
2018-07-19
Last Update Date
2019-08-14
Business Address
THEODORE WC BRENTON NP
4501 X STREET
SACRAMENTO, CA 95817-2229
Phone number: 916-734-5981
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Mailing Address
THEODORE WC BRENTON NP
4501 X STREET SUITE 3016
SACRAMENTO, CA 95817-2229
Phone number: 916-734-3772
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