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1740964832
RANDOLPH ALLEN BRUNNER
JUNCTION CITY, OR
NPI
1740964832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10193515)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
Dr. RANDOLPH ALLEN BRUNNER LAT/ATC
27033 FERGUSON RD
JUNCTION CITY, OR 97448-9320
Phone number: 541-729-3609
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Mailing Address
Dr. RANDOLPH ALLEN BRUNNER LAT/ATC
27033 FERGUSON RD
JUNCTION CITY, OR 97448-9320
Phone number: 541-729-3609
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