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1871322172
DYLAN BROWN
POCATELLO, ID
NPI
1871322172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
DYLAN BROWN
415 WYLDWOOD LN
POCATELLO, ID 83201-3614
Phone number: 208-380-5186
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Mailing Address
DYLAN BROWN
415 WYLDWOOD LN
POCATELLO, ID 83201-3614
Phone number: 208-380-5186
Copy
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