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1295009249
TINA BRANCH
LOS ANGELES, CA
NPI
1295009249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-07
Last Update Date
2012-03-07
Business Address
-- TINA BRANCH
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 626-533-2647
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Mailing Address
-- TINA BRANCH
3210 W JEFFERSON BLVD
LOS ANGELES, CA 90018-3230
Phone number: 626-533-2647
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