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1023729118
BRANDY RENE DOUGLAS
GRASS VALLEY, CA
NPI
1023729118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-08
Last Update Date
2023-12-28
Business Address
BRANDY RENE DOUGLAS
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9561
Phone number: 530-265-1437
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Mailing Address
BRANDY RENE DOUGLAS
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9561
Phone number: 530-265-1437
Copy
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