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1629828165
BRANDON BERG
KENNEWICK, WA
NPI
1629828165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA 3156-19)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
BRANDON BERG PTA
4303 W 24TH AVE
KENNEWICK, WA 99338-1963
Phone number: 509-572-3836
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Mailing Address
BRANDON BERG PTA
655 S WILLOW ST
MANCHESTER, NH 03103-5714
Phone number:
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