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Individual

AUSTIN BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 LAKESIDE AVE E, SUITE 1000, CLEVELAND, OH 44114-1158
(866) 649-4866
Mailing address
2705 SANDPIPER RD, LAMBERTVILLE, MI 48144-9440

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.16534-NP
OH

Other

Enumeration date
12/23/2014
Last updated
12/23/2014
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