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1407179252
BRYANT WHALEN
CHAMPAIGN, IL
NPI
1407179252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-03-09
Last Update Date
2010-03-09
Business Address
-- BRYANT WHALEN
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
-- BRYANT WHALEN
1909 CYPRESS DR
CHAMPAIGN, IL 61821-5818
Phone number:
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