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1225543341
MARTHA MARIAH BRIGHTMAN GASCA
DES MOINES, IA
NPI
1225543341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 10073)
Enumeration Date
2017-12-12
Last Update Date
2018-06-16
Business Address
MARTHA MARIAH BRIGHTMAN GASCA
3451 EASTON BLVD
DES MOINES, IA 50317-3214
Phone number: 515-262-0349
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Mailing Address
MARTHA MARIAH BRIGHTMAN GASCA
3451 EASTON BLVD
DES MOINES, IA 50317-3214
Phone number: 515-262-0349
Copy
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