BRYANT M WILSON

SAN ANDREAS, CA
NPI1982741443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
Mr. BRYANT M WILSON
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6555
Mailing Address
Mr. BRYANT M WILSON
2541 HEINEMANN DR
VALLEY SPRINGS, CA 95252-8854
Phone number: 209-772-1621
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