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Individual

DR. RANDOLPH ALLEN BRUNNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT/ATC

Contact information

Practice address
27033 FERGUSON RD, JUNCTION CITY, OR 97448-9320
(541) 729-3609
Mailing address
27033 FERGUSON RD, JUNCTION CITY, OR 97448-9320
(541) 729-3609

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10193515
OR

Other

Enumeration date
06/09/2023
Last updated
06/09/2023
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