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1194011247
URSELL LAVAUGHN BRANDON
SAN FRANCISCO, CA
NPI
1194011247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-27
Last Update Date
2025-01-12
Business Address
-- URSELL LAVAUGHN BRANDON
1625 CARROLL AVE
SAN FRANCISCO, CA 94124-3219
Phone number: 415-822-8200
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Mailing Address
-- URSELL LAVAUGHN BRANDON
1625 CARROLL AVE
SAN FRANCISCO, CA 94124-3219
Phone number: 415-822-8200
Copy
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