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1083115257
BRANDON M LEWIS
EMPORIA, KS
NPI
1083115257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-02-23
Last Update Date
2020-02-21
Business Address
BRANDON M LEWIS ATC
1 KELLOGG CIR APT 301
EMPORIA, KS 66801-5087
Phone number: 620-341-5021
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Mailing Address
BRANDON M LEWIS ATC
1925 W 24TH AVE APT 301
EMPORIA, KS 66801-5793
Phone number:
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