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1639561426
BRYAN MCKAGAN
BURLINGTON, WA
NPI
1639561426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 60497603)
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
Mr. BRYAN MCKAGAN CDP
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
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Mailing Address
Mr. BRYAN MCKAGAN CDP
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
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