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1386274991
BRIAN WITTENBERG
SHELBYVILLE, TN
NPI
1386274991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
BRIAN WITTENBERG
1110 WOODBURY ST
SHELBYVILLE, TN 37160-2758
Phone number: 931-684-0522
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Mailing Address
BRIAN WITTENBERG
1162 BELL BUCKLE WARTRACE RD
WARTRACE, TN 37183-3063
Phone number:
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