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1891426953
BRANDON LEONE AUSTIN
NEW BRITAIN, CT
NPI
1891426953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 001632)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
BRANDON LEONE AUSTIN ATC, LAT, EMT
1615 STANLEY ST
NEW BRITAIN, CT 06050-2439
Phone number: 860-832-3086
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Mailing Address
BRANDON LEONE AUSTIN ATC, LAT, EMT
65 DIXIE AVE
WATERBURY, CT 06706-1602
Phone number: 203-598-2184
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