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1881054633
BRYAN MICHAELS
NORTH BEND, OR
NPI
1881054633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-03-07
Last Update Date
2017-04-25
Business Address
-- BRYAN MICHAELS QMHA
1913 MEADE ST
NORTH BEND, OR 97459-3432
Phone number: 541-756-4508
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Mailing Address
-- BRYAN MICHAELS QMHA
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4946
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