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1548801137
BRANDON WAYNELL THOMPSON
ARDEN, NC
NPI
1548801137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5721)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
BRANDON WAYNELL THOMPSON PTA
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number: 828-681-0904
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Mailing Address
BRANDON WAYNELL THOMPSON PTA
40 PINE RIDGE TRL
ARDEN, NC 28704-7703
Phone number: 704-533-4776
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