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1558647420
BRANDON SPACK
CARMEL, IN
NPI
1558647420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36001762A)
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
BRANDON SPACK ATC, LAT
1402 CHASE COURT
CARMEL, IN 46032
Phone number: 317-848-5867
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Mailing Address
BRANDON SPACK ATC, LAT
1402 CHASE COURT
CARMEL, IN 46032
Phone number: 317-848-5867
Copy
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