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1356864524
BRANDON CHARLES PAYNE
POCATELLO, ID
NPI
1356864524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-07-19
Last Update Date
2022-07-21
Business Address
Mr. BRANDON CHARLES PAYNE ATC
921 S 8TH AVE STOP 8173
POCATELLO, ID 83209-0002
Phone number: 989-621-2374
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Mailing Address
Mr. BRANDON CHARLES PAYNE ATC
921 S 8TH AVE STOP 8173
POCATELLO, ID 83209-0002
Phone number: 989-621-2374
Copy
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