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Individual

BRANDON EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
800 LAKESHORE DR, PETE HANNA CENTER, ROOM 1105, BIRMINGHAM, AL 35229-0001
(205) 726-4298
Mailing address
800 LAKESHORE DR, PETE HANNA CENTER, ROOM 1105, BIRMINGHAM, AL 35229-0001
(205) 726-4298

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
717
AL

Other

Enumeration date
05/22/2007
Last updated
07/12/2013
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