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1285499582
JOHN BRANDOM
RIVERSIDE, CA
NPI
1285499582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1541320124)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
JOHN BRANDOM
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501-3199
Phone number: 951-683-6596
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Mailing Address
JOHN BRANDOM
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number:
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