GORDON SCOTT BRUIN

PROVO, UT
NPI1295037521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  370578-6004)
Enumeration Date2010-11-18
Last Update Date2010-11-18
Business Address
Mr. GORDON SCOTT BRUIN M.A.
151 S UNIVERSITY AVE STE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7167
Mailing Address
Mr. GORDON SCOTT BRUIN M.A.
151 S UNIVERSITY AVE STE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7167
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