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1871706481
BRENT POTTER
KINGMAN, AZ
NPI
1871706481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YS0200X Counselor School
Enumeration Date
2007-05-08
Last Update Date
2007-07-26
Business Address
MR. BRENT POTTER
4182 N BANK ST
KINGMAN, AZ 86409-2715
Phone number: 928-692-9813
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Mailing Address
MR. BRENT POTTER
2865 RAWHIDE DR
KINGMAN, AZ 86401-7819
Phone number: 928-692-9813
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