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1174837959
EDWIN LEON BRYANT
OKLAHOMA CITY, OK
NPI
1174837959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
-- EDWIN LEON BRYANT BA,BS
4030 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5207
Phone number: 405-528-4673
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Mailing Address
-- EDWIN LEON BRYANT BA,BS
PO BOX 343
LANGSTON, OK 73050-0343
Phone number: 281-777-8897
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