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1174141691
ROMAN BRUDNIK
JOHNSON CITY, TN
NPI
1174141691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
ROMAN BRUDNIK MD
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 773-449-8332
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Mailing Address
ROMAN BRUDNIK MD
PO BOX 70568
JOHNSON CITY, TN 37614-1707
Phone number:
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