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1255104972
BRYAN LANDRIE
WEST ALLIS, WI
NPI
1255104972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 14696-33)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
BRYAN LANDRIE
2460 S 81ST ST
WEST ALLIS, WI 53219-1730
Phone number: 920-309-5480
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Mailing Address
BRYAN LANDRIE
2460 S 81ST ST
WEST ALLIS, WI 53219-1730
Phone number: 920-309-5480
Copy
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