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1770742744
BRYAN SCOTT FIDDLER
SAN JOSE, CA
NPI
1770742744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 070000118)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- BRYAN SCOTT FIDDLER
1333 MERIDIAN AVE
SAN JOSE, CA 95125-5212
Phone number: 408-445-3400
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Mailing Address
-- BRYAN SCOTT FIDDLER
1333 MERIDIAN AVE
SAN JOSE, CA 95125-5212
Phone number: 408-445-3400
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