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1679297816
JOHN BRYAN WILSON
BEND, OR
NPI
1679297816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 22-QHMP-R-1539)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
JOHN BRYAN WILSON QHMP
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
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Mailing Address
JOHN BRYAN WILSON QHMP
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
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