GARY KENYON

AVONDALE, AZ
NPI1790141687
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
-- GARY KENYON
12918 W PALM LN
AVONDALE, AZ 85392-7153
Phone number: 469-781-8182
Mailing Address
-- GARY KENYON
PO BOX 1891
SNOWFLAKE, AZ 85937-1891
Phone number: 469-781-8182
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