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1275684888
GEORGE P BRINES
LAFAYETTE, IN
NPI
1275684888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- GEORGE P BRINES NCACII, ICACII
3768 ROME DRIVE
LAFAYETTE, IN 47905
Phone number: 765-449-9115
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Mailing Address
-- GEORGE P BRINES NCACII, ICACII
1415 STANFORT AVENUE
LAFAYETTE, IN 47905
Phone number: 765-449-9115
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