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1629858956
BRIAN JOHN UPTON
SPRINGFIELD, MO
NPI
1629858956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2001003595)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
BRIAN JOHN UPTON
4707 S FOREST AVE
SPRINGFIELD, MO 65810-1392
Phone number: 417-224-4170
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Mailing Address
BRIAN JOHN UPTON
4707 S FOREST AVE
SPRINGFIELD, MO 65810-1392
Phone number: 417-224-4170
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