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1356193213
BRENT R BYRUM
LOS ANGELES, CA
NPI
1356193213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1553490324)
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
BRENT R BYRUM
225 N MARIPOSA AVE
LOS ANGELES, CA 90004-4509
Phone number: 213-736-5441
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Mailing Address
BRENT R BYRUM
5233 E BEVERLY BLVD
LOS ANGELES, CA 90022-2020
Phone number: 323-724-6911
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