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1245633056
SCOTT BRACKEN
VIRGINIA BEACH, VA
NPI
1245633056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA 4404)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- SCOTT BRACKEN CSA
1008 MICHAELWOOD DR
VIRGINIA BEACH, VA 23452-4612
Phone number: 757-348-7101
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Mailing Address
-- SCOTT BRACKEN CSA
1008 MICHAELWOOD DR
VIRGINIA BEACH, VA 23452-4612
Phone number: 757-348-7101
Copy
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