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Individual

LISA BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10127
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140259500
FL
Enumeration date
08/26/2014
Last updated
08/26/2014
Update your record

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