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1295120301
BRANDON GILBERTSON
VERNONIA, OR
NPI
1295120301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A1 60500941)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- BRANDON GILBERTSON ATC
1463 2ND AVE
VERNONIA, OR 97064-1075
Phone number: 503-819-6861
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Mailing Address
-- BRANDON GILBERTSON ATC
1463 2ND AVE
VERNONIA, OR 97064
Phone number:
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