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1598462038
BRANDON MATTHEW HENSCHEL
MONROE, LA
NPI
1598462038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-02-15
Last Update Date
2023-05-06
Business Address
BRANDON MATTHEW HENSCHEL LAT, ATC
700 UNIVERSITY AVE
MONROE, LA 71209-1015
Phone number: 318-342-1000
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Mailing Address
BRANDON MATTHEW HENSCHEL LAT, ATC
875 HIGHWAY 98 W
KOKOMO, MS 39643-5018
Phone number:
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