BRANDON SPACK

CARMEL, IN
NPI1558647420
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001762A)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
-- BRANDON SPACK ATC, LAT
1402 CHASE COURT
CARMEL, IN 46032
Phone number: 317-848-5867
Mailing Address
-- BRANDON SPACK ATC, LAT
1402 CHASE COURT
CARMEL, IN 46032
Phone number: 317-848-5867
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