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1316501836
BRANDON MICHAEL SHORE
CHARLOTTE, NC
NPI
1316501836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 18597)
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
BRANDON MICHAEL SHORE PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-7760
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Mailing Address
BRANDON MICHAEL SHORE PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-7760
Copy
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