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Individual

MR. BRANDON MICHAEL WILBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PRSS

Contact information

Practice address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(304) 523-4673
Mailing address
137 8TH AVE W, HUNTINGTON, WV 25701-2510
(304) 523-4673

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-9119SUD
WV

Other

Enumeration date
11/18/2025
Last updated
12/11/2025
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