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Individual

BRIAN CHRISTOPHER GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Mailing address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2012010175
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012010175
HIS
MO
Enumeration date
07/24/2012
Last updated
07/24/2012
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