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1124232012
RALPH ANTHONY BRAVO
RIVERSIDE, CA
NPI
1124232012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Mr. RALPH ANTHONY BRAVO
1777 ATLANTA AVE SUITE G-1
RIVERSIDE, CA 92507-7417
Phone number: 951-304-5776
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Mailing Address
Mr. RALPH ANTHONY BRAVO
5380 FOURTH ST
RIVERSIDE, CA 92509
Phone number: 951-304-5776
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