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1033267877
BRIAN PROUT
RALEIGH, NC
NPI
1033267877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2007-01-08
Last Update Date
2009-01-29
Business Address
MR. BRIAN PROUT C.O.
3224 LAKE WOODARD DR SUITE 100
RALEIGH, NC 27604-3659
Phone number: 919-231-6890
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Mailing Address
MR. BRIAN PROUT C.O.
3224 LAKE WOODARD DR SUITE 100
RALEIGH, NC 27604-3659
Phone number: 919-231-6890
Copy
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