Albert Jackson Brougham
Albert Jackson Brougham is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2001 W 86th StIndianapolis, IN 46260-1902
Phone: (317) 338-6399
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1447010533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 19, 2024 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 19, 2024 |
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