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1114375862
ADRIAN BRAVO
CERES, CA
NPI
1114375862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2016-06-02
Last Update Date
2016-06-15
Business Address
ADRIAN BRAVO
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-300-8830
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Mailing Address
ADRIAN BRAVO
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number:
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