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1073057147
BRETT WAITS
PASADENA, CA
NPI
1073057147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
-- BRETT WAITS
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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Mailing Address
-- BRETT WAITS
1646 N FAIR OAKS AVE
PASADENA, CA 91103-1615
Phone number: 626-823-3453
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