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1659056109
BRANDON FLEENOR
BECKLEY, WV
NPI
1659056109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 000714)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
BRANDON FLEENOR
112 MELLON ST
BECKLEY, WV 25801-3536
Phone number: 304-255-5263
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Mailing Address
BRANDON FLEENOR
PO BOX 2032
OCEANA, WV 24870-2032
Phone number: 304-673-1089
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