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1093225351
SHAUNNETTA BRANHAM
SAN JOSE, CA
NPI
1093225351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-01
Last Update Date
2017-10-01
Business Address
SHAUNNETTA BRANHAM
438 N WHITE RD
SAN JOSE, CA 95127-1439
Phone number: 408-254-6828
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Mailing Address
SHAUNNETTA BRANHAM
438 N WHITE RD
SAN JOSE, CA 95127-1439
Phone number: 408-254-6828
Copy
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