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1588189120
BRIAN E. BLEVINS
LAWRENCE, KS
NPI
1588189120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-04
Last Update Date
2022-07-21
Business Address
BRIAN E. BLEVINS MAC
3205 CLINTON PARKWAY COURT
LAWRENCE, KS 66047-2627
Phone number: 785-843-5483
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Mailing Address
BRIAN E. BLEVINS MAC
3205 CLINTON PARKWAY CT
LAWRENCE, KS 66047-2627
Phone number: 785-843-5483
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