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1881820116
BRANDAN CHARLES CARRELL
MEQUON, WI
NPI
1881820116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12893)
Enumeration Date
2009-06-01
Last Update Date
2022-07-22
Business Address
Dr. BRANDAN CHARLES CARRELL DPT, PT
8239 W HILLVIEW DR
MEQUON, WI 53097-3205
Phone number: 541-852-3268
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Mailing Address
Dr. BRANDAN CHARLES CARRELL DPT, PT
8239 W HILLVIEW DR
MEQUON, WI 53097-3205
Phone number: 541-852-3268
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