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1235907916
BRANDON RICHARD WALLICK
ALLENTOWN, PA
NPI
1235907916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
Enumeration Date
2023-12-13
Last Update Date
2023-12-27
Business Address
BRANDON RICHARD WALLICK DHSC
5265 ROCKROSE LN BLDG E38
ALLENTOWN, PA 18104-8250
Phone number: 267-797-0240
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Mailing Address
BRANDON RICHARD WALLICK DHSC
5265 ROCKROSE LN BLDG E38
ALLENTOWN, PA 18104-8250
Phone number: 267-797-0240
Copy
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