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Individual
BRANDON FITZGERALD MCCLENDON
Active
Individual
BRANDON FITZGERALD MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, PES,
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004400
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDER
PA
Enumeration date
06/10/2014
Last updated
06/10/2014
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