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1003654492
COLLIN C. BRANT
CHICAGO, IL
NPI
1003654492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
Dr. COLLIN C. BRANT DDS
820 S DAMEN AVE # MC160
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
Dr. COLLIN C. BRANT DDS
1451 W HURON ST APT 2
CHICAGO, IL 60642-6357
Phone number: 713-805-5488
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