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1215325733
BRENT WOOD
SANTA ANA, CA
NPI
1215325733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA W1305111141)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
Mr. BRENT WOOD
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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Mailing Address
Mr. BRENT WOOD
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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