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1992835623
BRANDYN SHANE CHARLTON
WILLIAMSPORT, PA
NPI
1992835623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT001818A)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. BRANDYN SHANE CHARLTON MA, ATC
700 COLLEGE PLACE LYCOMING COLLEGE
WILLIAMSPORT, PA 17701-5192
Phone number: 570-321-4271
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Mailing Address
Mr. BRANDYN SHANE CHARLTON MA, ATC
3 ASHLEE LN
DANVILLE, PA 17821-9774
Phone number: 570-275-6735
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