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Individual

MARY BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
295 STUDENT UNION DRIVE, LIVINGSTON, AL 35470-0025
(662) 571-3827
Mailing address
PO BOX 25, LOUISE, MS 39097-0025
(662) 571-3827

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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