Individual
BRANDON GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 684-4732
Mailing address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004056
OH
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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