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Joy Brakel

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NPI Number Detailed Information

Provider Information:

Name: Joy Brakel
Gender: F
Provider License Number If Given: SW11871

NPI Information:

NPI: 1366445553
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 3/17/2015

Provider Business Mailing Address:

Address: 1300 DOUGLAS CIR
Key West, FL 33040
Phone Number: 3052934861
Fax Number: 3052934813

Provider Business Practice Location Address:

Address: 1300 DOUGLAS CIR
Key West, FL 33040
Phone Number: 3052934861
Fax Number: 3052934813

Provider Taxonomy:

Primary: 1041C0700X
Secondary (if any):
State: FL

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