Individual
JOHN MICHAEL BRANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E UNIVERSITY, MAGNOLIA, AR 71753-2181
(870) 235-4000
Mailing address
PO BOX 151, REDWATER, TX 75573-0151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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