BRANDON JUSTIN FAZALARE

JOHNSON CITY, TN
NPI1609565860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
DR. BRANDON JUSTIN FAZALARE MD
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604-6171
Phone number: 423-439-7201
Mailing Address
DR. BRANDON JUSTIN FAZALARE MD
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604-6171
Phone number: 423-439-7201
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