DEMETRI ANTONI BRUNER

JONESBORO, AR
NPI1922582014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AR  4348)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
DEMETRI ANTONI BRUNER MCD, CCC-SLP
1699 RED WOLF BLVD
JONESBORO, AR 72401-5442
Phone number: 870-336-0021
Mailing Address
DEMETRI ANTONI BRUNER MCD, CCC-SLP
212 CHICAGO ST
CARAWAY, AR 72419-9027
Phone number: 870-371-1809
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