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1699553016
BRYAN LINN BRUCKS
BOZEMAN, MT
NPI
1699553016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT BBH-LAC-LIC-62844)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
BRYAN LINN BRUCKS
4055 VALLEY COMMONS DR STE F-3
BOZEMAN, MT 59718-6432
Phone number: 218-464-8233
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Mailing Address
BRYAN LINN BRUCKS
11925 ANTELOPE VALLEY RD
THREE FORKS, MT 59752-9736
Phone number: 121-846-4823
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