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Individual

BARRY BRENT CHURCHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
(812) 474-3686
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
(812) 474-3686

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
02/24/2023
Last updated
02/24/2023
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