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Individual

BRANDON AVERY ELENBAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13040 SR-204 E, SAVANNAH, GA 31419
(912) 478-5436
Mailing address
1330 AKINS ANDERSON RD, REGISTER, GA 30452-4031

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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