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1962754820
BRANDON POMAIKAI PENEBACKER
FORT BRAGG, NC
NPI
1962754820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
Mr. BRANDON POMAIKAI PENEBACKER PA-C
TAGAYTA DR BLDG C-1722
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8282
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Mailing Address
Mr. BRANDON POMAIKAI PENEBACKER PA-C
504 MURRAY FORK DR
FAYETTEVILLE, NC 28314-0958
Phone number: 910-973-2530
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