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1013604867
BRANDON SCOTT ARCHIBALD
BUENA VISTA, VA
NPI
1013604867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126003684)
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
BRANDON SCOTT ARCHIBALD
1 UNIVERSITY HILL DR
BUENA VISTA, VA 24416-3038
Phone number: 801-669-7583
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Mailing Address
BRANDON SCOTT ARCHIBALD
1 UNIVERSITY HILL DR
BUENA VISTA, VA 24416-3038
Phone number: 801-669-7583
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