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1518392364
BRANDON JOHNSON
NEWARK, DE
NPI
1518392364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE J3-0000474)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
-- BRANDON JOHNSON
56 THOMPSON CIR
NEWARK, DE 19711-7129
Phone number: 281-468-6202
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Mailing Address
-- BRANDON JOHNSON
56 THOMPSON CIR
NEWARK, DE 19711-7129
Phone number: 281-468-6202
Copy
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