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1851904171
BRANDON DAVID KEATON
HUNTINGTON, WV
NPI
1851904171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
BRANDON DAVID KEATON
1538 CHARLESTON AVE.
HUNTINGTON, WV 25843
Phone number: 304-696-7302
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Mailing Address
BRANDON DAVID KEATON
821 ODD RD.
GHENT, WV 25843
Phone number: 304-575-5113
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