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1497354401
BRANDON HALLAWAY
STORRS, CT
NPI
1497354401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
BRANDON HALLAWAY
2098 HILLSIDE RD
STORRS, CT 06268
Phone number: 860-486-4900
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Mailing Address
BRANDON HALLAWAY
26 WILLOW LN
CLINTON, CT 06413-1528
Phone number: 203-823-8951
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