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Individual
MR. BRANDON BYARS
Active
Individual
MR. BRANDON BYARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NULL
363A00000X
Physician Assistant
MED-PAC-LIC-42955
MT
363AS0400X
Surgical Physician Assistant
Primary
12693
MN
Other
Enumeration date
02/28/2007
Last updated
09/18/2018
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