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1376081000
BRYON LOGAN
LOS ANGELES, CA
NPI
1376081000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- BRYON LOGAN
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143
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Mailing Address
-- BRYON LOGAN
1319 S MANHATTAN PL
LOS ANGELES, CA 90019-4702
Phone number: 323-734-1143
Copy
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