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Individual

SUZANNE MARIE BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3125 NORTHERTON CT, DAYTON, OH 45414-1793
(937) 264-3220
Mailing address
3125 NORTHERTON CT, DAYTON, OH 45414-1793
(937) 264-3220

Taxonomy

Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
4134
FL
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
8860129
OH

Other

Enumeration date
03/04/2013
Last updated
03/04/2013
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