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1265946974
ERVIN N/A BRIONES
MACON, GA
NPI
1265946974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC007205)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
Dr. ERVIN N/A BRIONES Ph.D.
1552 LONG ACRE DR
MACON, GA 31204-4924
Phone number: 678-755-1221
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Mailing Address
Dr. ERVIN N/A BRIONES Ph.D.
1552 LONG ACRE DR
MACON, GA 31204-4924
Phone number: 678-755-1221
Copy
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