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1841716628
BRANDON THOMAS DAVIS
WILMINGTON, NC
NPI
1841716628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6010)
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
BRANDON THOMAS DAVIS PTA
3800 INDEPENDENCE BLVD
WILMINGTON, NC 28412-2599
Phone number: 910-444-0513
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Mailing Address
BRANDON THOMAS DAVIS PTA
806 MARCH CT APT D
WILMINGTON, NC 28405-3571
Phone number: 910-902-3167
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