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1114619152
BRYANNA GRACIELA AYALA
SAN BERNARDINO, CA
NPI
1114619152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1505780523)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
BRYANNA GRACIELA AYALA
1115 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-888-6956
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Mailing Address
BRYANNA GRACIELA AYALA
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number:
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