MR. BRANDON TAYLOR ELLISON
Student, Health Care at Lakeshore Dr, Birmingham, AL

License number
Alabama S10961
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address 2
800 Lakeshore Dr, Birmingham, AL 35229
84 Lewis Rd, Gadsden, AL 35904
Phone
(205) 726-4472
National Provider ID: 1841635703
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Brandon Ellison
4305 43Rd Pl N, Birmingham, AL 35217
Brandon Ellison
84 Lewis Rd, Gadsden, AL 35904
Brandon Ellison
401 87Th St S, Birmingham, AL 35206
Brandon Ellison
4305 43Rd St, Birmingham, AL 35217
Brandon Ellison
401 87Th St, Birmingham, AL 35206

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