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1104475524
BRANDON MICHAEL FONSECA
SANTA ANA, CA
NPI
1104475524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
BRANDON MICHAEL FONSECA
1200 N MAIN ST STE 200
SANTA ANA, CA 92701-3640
Phone number: 714-480-6767
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Mailing Address
BRANDON MICHAEL FONSECA
1200 N MAIN ST STE 200
SANTA ANA, CA 92701-3640
Phone number: 714-480-6767
Copy
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