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MR. BRYAN ELIOT MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
200 BUTLER DRIVE, PROVIDENCE, RI 02906
(401) 437-8448
Mailing address
200 BUTLER DR, PROVIDENCE, RI 02906-4863
(401) 437-8448

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN169872
AZ

Other

Enumeration date
04/23/2015
Last updated
04/23/2015
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