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1134409956
BRYAN GLEN PRINCE
FT. RUCKER, AL
NPI
1134409956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: TX B1901448)
Enumeration Date
2011-08-24
Last Update Date
2011-08-24
Business Address
BRYAN GLEN PRINCE
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362-5333
Phone number: 334-255-7000
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Mailing Address
BRYAN GLEN PRINCE
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362-5333
Phone number: 334-255-7000
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