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1629215546
BRANDON BUSHNELL
BETHLEHEM, PA
NPI
1629215546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA 27338734)
Enumeration Date
2009-01-14
Last Update Date
2009-01-14
Business Address
MR. BRANDON BUSHNELL ATC
3101 EMRICK BLVD 112
BETHLEHEM, PA 18020-8037
Phone number: 610-997-5750
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Mailing Address
MR. BRANDON BUSHNELL ATC
3101 EMRICK BLVD 112
BETHLEHEM, PA 18020-8037
Phone number: 610-997-5750
Copy
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