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1770988156
MICHAEL BRANCH
LAS VEGAS, NV
NPI
1770988156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 201243)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- MICHAEL BRANCH
10757 ELK LAKE DR
LAS VEGAS, NV 89144-4442
Phone number: 702-672-2444
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Mailing Address
-- MICHAEL BRANCH
10757 ELK LAKE DR
LAS VEGAS, NV 89144-4442
Phone number:
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