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1235635509
JASON WAYNE BREWER
VICTORVILLE, CA
NPI
1235635509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
JASON WAYNE BREWER
15770 MOJAVE DR STE L
VICTORVILLE, CA 92394-1934
Phone number: 760-843-7809
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Mailing Address
JASON WAYNE BREWER
15770 MOJAVE DR STE L
VICTORVILLE, CA 92394-1934
Phone number: 760-843-7809
Copy
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