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Individual

BROCK KIRIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, CRNA

Contact information

Practice address
1400 W MAIN ST, BELLEVUE, OH 44811-9088
(419) 483-4040
Mailing address
8684 ROYALHAVEN DR, NORTH ROYALTON, OH 44133-1655
(567) 230-0323

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019759
OH

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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