DUSTIN BRYAN

TULSA, OK
NPI1578985107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  1070)
Enumeration Date2014-01-16
Last Update Date2014-01-16
Business Address
-- DUSTIN BRYAN
2727 E. ADMIRAL PL.
TULSA, OK 74110
Phone number: 918-835-3017
Mailing Address
-- DUSTIN BRYAN
2727 E. ADMIRAL PL.
TULSA, OK 74110
Phone number:
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