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1184022956
KILEY BRYANT
SALEM, OR
NPI
1184022956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-12-09)
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- KILEY BRYANT
3871 FAIRVIEW INDUSTRIAL DR SE STE 150
SALEM, OR 97302-1172
Phone number: 503-391-9762
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Mailing Address
-- KILEY BRYANT
3871 FAIRVIEW INDUSTRIAL DR SE STE 150
SALEM, OR 97302-1172
Phone number: 503-391-9762
Copy
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