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1295234482
BRANDON SCOTT MAINE
MORGANTOWN, WV
NPI
1295234482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV APRN94463)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
BRANDON SCOTT MAINE
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-4000
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Mailing Address
BRANDON SCOTT MAINE
1111 VALLEY VIEW AVE TRLR 31
MORGANTOWN, WV 26505-3684
Phone number: 253-266-4637
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