Individual
BRISHEN DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
143 MAIN ST, BUIES CREEK, NC 27506
(910) 893-1200
Mailing address
15 BELCHER RD, WETHERSFIELD, CT 06109-3002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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