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1265918635
BRANDT CORCRAN
VINTON, IA
NPI
1265918635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 092387)
Enumeration Date
2018-07-18
Last Update Date
2020-11-06
Business Address
BRANDT CORCRAN
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6200
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Mailing Address
BRANDT CORCRAN
912 A AVE
VINTON, IA 52349-1345
Phone number: 319-929-4708
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