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1427276625
EDGAR R BRANTLEY
OSWEGO, NY
NPI
1427276625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 019152-1)
Enumeration Date
2007-04-23
Last Update Date
2016-01-29
Business Address
-- EDGAR R BRANTLEY MSPT
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
-- EDGAR R BRANTLEY MSPT
22 BROOK ST
ONEONTA, NY 13820-1444
Phone number: 607-435-8145
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