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1558937847
BRANDON WALTER HALLAWAY
PHOENIX, AZ
NPI
1558937847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ R3620)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
Dr. BRANDON WALTER HALLAWAY DO
9201 N 5TH ST
PHOENIX, AZ 85020-2532
Phone number: 480-882-4545
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Mailing Address
Dr. BRANDON WALTER HALLAWAY DO
9202 N 2ND ST
PHOENIX, AZ 85020-2458
Phone number: 602-786-1024
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