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1295450930
KERMIT RAY BROWN
OAKLAND, CA
NPI
1295450930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14074)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
KERMIT RAY BROWN
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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Mailing Address
KERMIT RAY BROWN
10429 INTERNATIONAL BLVD
OAKLAND, CA 94603-3221
Phone number: 510-777-8448
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