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1639312549
PAUL MATTHEW BRYDE
TUCSON, AZ
NPI
1639312549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-0914)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- PAUL MATTHEW BRYDE LISAC-0914
1290 W ELKO ST
TUCSON, AZ 85704-2445
Phone number: 520-444-9733
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Mailing Address
-- PAUL MATTHEW BRYDE LISAC-0914
1290 W ELKO ST
TUCSON, AZ 85704-2445
Phone number:
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