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1235550526
RICHARD JAMES BRYAN
PROVO, UT
NPI
1235550526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 6904910-6004)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
Mr. RICHARD JAMES BRYAN C.M.H.C.
567 N 2620 W
PROVO, UT 84601-1187
Phone number: 801-362-1705
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Mailing Address
Mr. RICHARD JAMES BRYAN C.M.H.C.
567 N 2620 W
PROVO, UT 84601-1187
Phone number: 801-362-1705
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