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1003230103
BRYANNA OSWALT
MELBOURNE, FL
NPI
1003230103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMT1742)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- BRYANNA OSWALT
4450 W EAU GALLIE BLVD SUITE 200
MELBOURNE, FL 32934-7213
Phone number: 321-726-2860
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Mailing Address
-- BRYANNA OSWALT
400 SHERIDAN RD
MELBOURNE, FL 32901-3122
Phone number:
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