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1720826779
BRANDON T MCCORMICK
FRESNO, CA
NPI
1720826779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95030762)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
BRANDON T MCCORMICK
7777 N INGRAM AVE
FRESNO, CA 93711-6281
Phone number: 559-472-7546
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Mailing Address
BRANDON T MCCORMICK
273 MERIDIAN AVE
MADERA, CA 93636-8390
Phone number: 559-269-4241
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