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1386887354
BRANDON L KIDMAN
LONG BEACH, CA
NPI
1386887354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2009-04-07
Last Update Date
2009-04-07
Business Address
-- BRANDON L KIDMAN
6447 E. KEYNOTE ST.
LONG BEACH, CA 90808
Phone number: 562-429-0473
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Mailing Address
-- BRANDON L KIDMAN
6447 E KEYNOTE ST
LONG BEACH, CA 90808-2421
Phone number: 562-429-0473
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