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1235897083
BRANDON TISDALE
EUREKA, CA
NPI
1235897083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
BRANDON TISDALE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
BRANDON TISDALE
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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