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Individual

BRYAN J DEARNLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18 BALLOU ST APT 5, PUTNAM, CT 06260-1203
(774) 289-9209
Mailing address
18 BALLOU ST APT 5, PUTNAM, CT 06260-1203

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3624360

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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