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Individual
MR. VERNON MILES BRYDER
Active
Individual
MR. VERNON MILES BRYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602046
BCBS
—
Enumeration date
07/14/2006
Last updated
06/07/2022
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