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1013166206
ANTHONY W BRANDENBURG
CLINTON, TN
NPI
1013166206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: TN 070404648)
Enumeration Date
2008-09-12
Last Update Date
2008-09-12
Business Address
-- ANTHONY W BRANDENBURG
118 IKE ANDERSON LN
CLINTON, TN 37716-6575
Phone number: 865-463-7151
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Mailing Address
-- ANTHONY W BRANDENBURG
118 IKE ANDERSON LN
CLINTON, TN 37716-6575
Phone number: 865-463-7151
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