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1962004101
KATIANNE BRUBAKKEN
APO, AE
NPI
1962004101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
KATIANNE BRUBAKKEN PT
48TH MEDICAL GROUP UNIT 5115
APO, AE 09461-5115
Phone number: 314-226-8010
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Mailing Address
KATIANNE BRUBAKKEN PT
PSC 41 BOX 1747
APO, AE 09464-0018
Phone number:
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