Brian Austin Teal B.S.

NPI 1215285028 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1215285028
Gender Male
Enumeration Date 08/28/2012
Last Updated 07/10/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (872) 972-4911
Business Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (872) 972-4911
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Brian Austin Teal B.S. NPI is 1215285028, taxonomy code is 390200000X Brian Austin Teal B.S. physically located at 2707 Browns Ln, Jonesboro AR, 72401-7213. NPI Number Brian Austin Teal B.S. has the Individual type.

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1215285028 NPI number is provided on an as is basis without warranty of any kind. 1215285028 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Austin Teal B.S. are for informational purposes only.