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1114755758
BREANNA MARIE CARLSON
ROSEVILLE, CA
NPI
1114755758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95031284)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
BREANNA MARIE CARLSON FNP-C
151 N SUNRISE AVE STE 1201
ROSEVILLE, CA 95661-2961
Phone number: 916-780-0110
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Mailing Address
BREANNA MARIE CARLSON FNP-C
8462 W GRANITE DR
GRANITE BAY, CA 95746-9569
Phone number: 916-595-7516
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