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1285079244
BRIAN JAMES VAVREK
BIRMINGHAM, AL
NPI
1285079244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL S10686)
Enumeration Date
2013-05-05
Last Update Date
2013-05-06
Business Address
-- BRIAN JAMES VAVREK
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-2011
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Mailing Address
-- BRIAN JAMES VAVREK
18244 LOUISVILLE RD
SMITHS GROVE, KY 42171-8708
Phone number: 270-250-5103
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