RYAN WAYNE BRACK

SCOTTSBORO, AL
NPI1609973379
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S975TA537)
Enumeration Date2006-09-17
Last Update Date2007-07-08
Business Address
Mr. RYAN WAYNE BRACK O.D.
24833 JOHN T REID PKWY
SCOTTSBORO, AL 35768-2340
Phone number: 256-574-5698
Mailing Address
Mr. RYAN WAYNE BRACK O.D.
178 TAMMY GAINES LN
HUNTSVILLE, AL 35811-8951
Phone number: 256-746-0170
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