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1225893480
BRANT COOLIDGE
SAN LUIS OBISPO, CA
NPI
1225893480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
Mr. BRANT COOLIDGE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-461-6081
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Mailing Address
Mr. BRANT COOLIDGE
PO BOX 2337
SANTA MARIA, CA 93457-2337
Phone number:
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