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1861954059
BRYAN THOMAS COURTNEY
WRIGHT PATTERSON AFB, OH
NPI
1861954059
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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
2019-04-05
Last Update Date
2019-04-05
Business Address
BRYAN THOMAS COURTNEY IDMT
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 859-512-8828
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Mailing Address
BRYAN THOMAS COURTNEY IDMT
5013 BROOMSEDGE DR
DAYTON, OH 45431-3525
Phone number: 859-512-8828
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