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1245810175
BRANDON SCOTT NIDEA
DAYTON, OH
NPI
1245810175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
Dr. BRANDON SCOTT NIDEA MD
1 WYOMING ST
DAYTON, OH 45409-2722
Phone number: 937-208-8000
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Mailing Address
Dr. BRANDON SCOTT NIDEA MD
708 N HAMLIN AVE
PARK RIDGE, IL 60068-2417
Phone number: 847-702-1488
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