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1376311985
BENJAMIN SCOTT BRANDVIG
LIVE OAK, TX
NPI
1376311985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1386198)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
BENJAMIN SCOTT BRANDVIG
12413 JUDSON RD STE 100
LIVE OAK, TX 78233-3262
Phone number: 210-314-1071
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Mailing Address
BENJAMIN SCOTT BRANDVIG
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039
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