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1881354082
BRYAN GILLIAM
YAKIMA, WA
NPI
1881354082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
BRYAN GILLIAM
201 S 2ND AVE
YAKIMA, WA 98902-3464
Phone number: 509-575-4084
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Mailing Address
BRYAN GILLIAM
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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