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1700331105
BRANDON HENRY
FORT MYERS, FL
NPI
1700331105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL 2279)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
BRANDON HENRY MS, ATC
11500 FENWAY SOUTH DR
FORT MYERS, FL 33913-8671
Phone number: 857-366-0797
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Mailing Address
BRANDON HENRY MS, ATC
11500 FENWAY SOUTH DR
FORT MYERS, FL 33913-8671
Phone number: 857-366-0797
Copy
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