KORT THOMAS BRAEUTIGAM

ORANGE PARK, FL
NPI1659073435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
KORT THOMAS BRAEUTIGAM MHA
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2022
Mailing Address
KORT THOMAS BRAEUTIGAM MHA
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-2022
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