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Individual

BRIANNA LYNN MIDDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3419
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3419

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
03/16/2023
Last updated
08/14/2023
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