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1548504665
KENNETH DALE BRANN
SPRINGFIELD, IL
NPI
1548504665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: IL 3118)
Enumeration Date
2012-11-15
Last Update Date
2016-10-26
Business Address
-- KENNETH DALE BRANN
2060 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4191
Phone number: 636-284-4987
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Mailing Address
-- KENNETH DALE BRANN
2060 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4191
Phone number: 636-284-4987
Copy
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