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Individual

BRYAN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
3301 W BETHEL AVE, MUNCIE, IN 47304-5402
(765) 896-9389
(765) 896-9598
Mailing address
408 E WASHINGTON ST, BUTLER, IN 46721-1179

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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