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1194337576
MAUREEN LUCILLE BRANNON
SAN PABLO, CA
NPI
1194337576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
MAUREEN LUCILLE BRANNON
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-236-3139
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Mailing Address
MAUREEN LUCILLE BRANNON
613 E K ST
BENICIA, CA 94510-3508
Phone number: 707-704-7967
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