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1700669462
BRYAN REID LUEDECKE
AUSTIN, TX
NPI
1700669462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1131904)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
Mr. BRYAN REID LUEDECKE PHMNP-BC- MSN, RN
8334 CROSS PARK DR
AUSTIN, TX 78754-5122
Phone number: 512-323-2622
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Mailing Address
Mr. BRYAN REID LUEDECKE PHMNP-BC- MSN, RN
12800 HARRISGLENN DR APT 1212
AUSTIN, TX 78753-5336
Phone number: 361-782-9060
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