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1700354792
BRANDON LEE EDWARDS
SALEM, OR
NPI
1700354792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
224Z00000X Occupational Therapy Assistant
Enumeration Date
2018-11-07
Last Update Date
2024-03-21
Business Address
BRANDON LEE EDWARDS COTA/L, PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
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Mailing Address
BRANDON LEE EDWARDS COTA/L, PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
Copy
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