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Individual

BRE BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
429 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 253-0849
Mailing address
208 FLAT TOP LAKE RD, GHENT, WV 25843-9360

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118914
WV

Other

Enumeration date
03/14/2024
Last updated
03/14/2024
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