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1053053637
BRANDON KHOR
RICHMOND, VA
NPI
1053053637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0442000453)
Enumeration Date
2022-04-12
Last Update Date
2022-06-29
Business Address
BRANDON KHOR
520 N 12TH ST
RICHMOND, VA 23298-5064
Phone number: 804-828-9190
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Mailing Address
BRANDON KHOR
4219 SW MAWRCREST AVE
GRESHAM, OR 97080-8682
Phone number: 503-545-4405
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