Brandon Gillow

NPI #1750737987 in Bangor, Pennsylvania

Provider Information

NPI Number: 1750737987
Entity Type: Individual
Name: Brandon Gillow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 535 PENNSYLVANIA AVE
City: Bangor
State: Pennsylvania
ZIP Code: 18013-1860
Phone: (484) 553-3684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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