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Individual

DR. BRANDON PAUL MANCUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
53 PRESIDENTS WALK, WILLIAMSVILLE, NY 14221-2426
(716) 390-7688
Mailing address
53 PRESIDENTS WALK, WILLIAMSVILLE, NY 14221-2426
(716) 390-7688

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012335
NY

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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