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1669769154
BRYAN WILMUT
PLANO, TX
NPI
1669769154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 8931)
Enumeration Date
2011-07-05
Last Update Date
2012-01-12
Business Address
-- BRYAN WILMUT LCDC
1947 K AVE SUITE A 100
PLANO, TX 75074-5961
Phone number: 972-423-6007
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Mailing Address
-- BRYAN WILMUT LCDC
1947 K AVE SUITE A 100
PLANO, TX 75074-5961
Phone number: 972-423-6007
Copy
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