BRYAN J BLEW

MARIPOSA, CA
NPI1306986997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- BRYAN J BLEW
5037 STROMING RD
MARIPOSA, CA 95338-0099
Phone number: 209-966-7770
Mailing Address
-- BRYAN J BLEW
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-966-7770
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