JOHN BRYAN WILSON

BEND, OR
NPI1679297816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  22-QHMP-R-1539)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
JOHN BRYAN WILSON QHMP
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
Mailing Address
JOHN BRYAN WILSON QHMP
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
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