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1043854078
BRIAN DAVID EVELAND
ESCONDIDO, CA
NPI
1043854078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA R1361190819)
Enumeration Date
2019-11-02
Last Update Date
2023-06-28
Business Address
Mr. BRIAN DAVID EVELAND SUDCC
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-9485
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Mailing Address
Mr. BRIAN DAVID EVELAND SUDCC
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-9485
Copy
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