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1003935404
ROLAND BRADFORD BRYANT
SAN DIEGO, CA
NPI
1003935404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA LCi10290118)
Enumeration Date
2007-03-28
Last Update Date
2018-09-18
Business Address
ROLAND BRADFORD BRYANT
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9492
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Mailing Address
ROLAND BRADFORD BRYANT
2970 MARKET ST
SAN DIEGO, CA 92102-3296
Phone number: 619-236-9492
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