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1043400864
JIM BRANLEY
SAN BERNARDINO, CA
NPI
1043400864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-27
Last Update Date
2007-07-27
Business Address
-- JIM BRANLEY
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405-4117
Phone number: 909-881-0390
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Mailing Address
-- JIM BRANLEY
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405-4117
Phone number: 909-881-0390
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