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1154971257
BRADLEE RUTH MOOSE
RED BLUFF, CA
NPI
1154971257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
BRADLEE RUTH MOOSE
1900 WALNUT ST
RED BLUFF, CA 96080-3611
Phone number: 530-527-5631
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Mailing Address
BRADLEE RUTH MOOSE
PO BOX 400
RED BLUFF, CA 96080-0400
Phone number: 530-528-3204
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