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1093014094
TINA C BRYANT
LEXINGTON, KY
NPI
1093014094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY KY1307)
Enumeration Date
2011-03-16
Last Update Date
2012-02-01
Business Address
-- TINA C BRYANT Ph.D.
2220 EXECUTIVE DR STE 103
LEXINGTON, KY 40505-4871
Phone number: 859-963-6388
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Mailing Address
-- TINA C BRYANT Ph.D.
2220 EXECUTIVE DR STE 103
LEXINGTON, KY 40505-4871
Phone number: 859-963-6388
Copy
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