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1962097956
BRIAN G SLAYNE
TUCSON, AZ
NPI
1962097956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-15201)
Enumeration Date
2021-03-02
Last Update Date
2021-03-02
Business Address
Mr. BRIAN G SLAYNE LISAC
5151 E PIMA ST
TUCSON, AZ 85712-3627
Phone number: 520-477-0227
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Mailing Address
Mr. BRIAN G SLAYNE LISAC
1745 E GLENN ST APT 138
TUCSON, AZ 85719-2739
Phone number: 520-912-1714
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