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1346999489
BRYAN WACKER
INDIANAPOLIS, IN
NPI
1346999489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
BRYAN WACKER DO
2001 W 86TH ST
INDIANAPOLIS, IN 46260-1902
Phone number: 317-338-6399
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Mailing Address
BRYAN WACKER DO
2001 W 86TH ST
INDIANAPOLIS, IN 46260-1902
Phone number: 317-338-6399
Copy
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