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1558101295
BRANDON WILSON
IRONDALE, AL
NPI
1558101295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA10940)
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
BRANDON WILSON PTA
1424 MONTCLAIR RD
IRONDALE, AL 35210-2208
Phone number: 800-381-0822
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Mailing Address
BRANDON WILSON PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-381-0822
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