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1851993059
BRANDON KEITH MANCINELLI
SPRINGDALE, AR
NPI
1851993059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
BRANDON KEITH MANCINELLI CNIM
3497 WAGON WHEEL RD
SPRINGDALE, AR 72762-0115
Phone number: 877-295-2554
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Mailing Address
BRANDON KEITH MANCINELLI CNIM
3497 WAGON WHEEL RD
SPRINGDALE, AR 72762-0115
Phone number: 877-295-2554
Copy
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