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1871047076
KEVIN BRANDT
ISLIP, NY
NPI
1871047076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002834-1)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
-- KEVIN BRANDT MS, ATC, PES
62 JUNIPER ST
ISLIP, NY 11751-1213
Phone number: 631-327-1192
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Mailing Address
-- KEVIN BRANDT MS, ATC, PES
62 JUNIPER ST
ISLIP, NY 11751-1213
Phone number:
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