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1114341955
BRIANNE BAVOSA
BRICK, NJ
NPI
1114341955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
Mrs. BRIANNE BAVOSA
35 BEAVERSON BLVD BUILDING 6
BRICK, NJ 08723-7812
Phone number: 732-920-2700
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Mailing Address
Mrs. BRIANNE BAVOSA
35 BEAVERSON BLVD BUILDING 6
BRICK, NJ 08723-7812
Phone number: 732-920-2700
Copy
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