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1396017786
BRYANT ADAM AXTELL
PANAMA CITY, FL
NPI
1396017786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
BRYANT ADAM AXTELL IDMT
340 MAGNOLIA CIR
PANAMA CITY, FL 32403-5604
Phone number: 850-283-7591
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Mailing Address
BRYANT ADAM AXTELL IDMT
2648 AVONDALE CT
PANAMA CITY, FL 32404-3090
Phone number: 850-319-4280
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