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Individual

BRANDEN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
324 N RICHMOND ST, FLEETWOOD, PA 19522-1308
(610) 223-6279
Mailing address
324 N RICHMOND ST, FLEETWOOD, PA 19522-1308
(610) 223-6279

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/17/2016
Last updated
11/22/2016
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