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1134550841
PAUL JASON BRAFFORD
CONCORD, NC
NPI
1134550841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1923)
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- PAUL JASON BRAFFORD LAT, ATC
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-534-5450
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Mailing Address
-- PAUL JASON BRAFFORD LAT, ATC
12510 BENDING BRANCH RD
CHARLOTTE, NC 28227-3658
Phone number: 980-522-2312
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