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1013223031
BRYAN LAURENCE KELLY
HILLSBORO, OR
NPI
1013223031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
-- BRYAN LAURENCE KELLY
971 SW WALNUT ST
HILLSBORO, OR 97123-5651
Phone number: 503-640-5297
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Mailing Address
-- BRYAN LAURENCE KELLY
971 SW WALNUT ST
HILLSBORO, OR 97123-5651
Phone number: 503-640-5297
Copy
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