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1699017947
JIMMY BRYANT
PHILADELPHIA, PA
NPI
1699017947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: PA 455324367)
Enumeration Date
2013-03-25
Last Update Date
2013-03-25
Business Address
-- JIMMY BRYANT clinicalpsychologist
1213 VINE ST STE 121
PHILADELPHIA, PA 19107-1111
Phone number: 215-617-6510
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Mailing Address
-- JIMMY BRYANT clinicalpsychologist
1213 VINE ST STE 121
PHILADELPHIA, PA 19107-1111
Phone number: 215-617-6510
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