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Individual
BRIAN CHILDRESS
Active
Individual
BRIAN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMTB
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
SC032415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC032415
EMT
SC
Enumeration date
10/13/2021
Last updated
10/13/2021
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