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1740937135
KENNETH LAMONT BRYANT
VICTORVILLE, CA
NPI
1740937135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
KENNETH LAMONT BRYANT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
KENNETH LAMONT BRYANT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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