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1306228754
BRANDON FRESINA
BATON ROUGE, LA
NPI
1306228754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5603)
Enumeration Date
2015-06-22
Last Update Date
2020-07-10
Business Address
BRANDON FRESINA
12617 FAIRHAVEN DR
BATON ROUGE, LA 70815-6817
Phone number: 225-337-0021
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Mailing Address
BRANDON FRESINA
777 GLADES RD
BOCA RATON, FL 33431-6496
Phone number: 225-337-0021
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