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1366742272
MARY BRANTLEY
RIVERSIDE, CA
NPI
1366742272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
MS. MARY BRANTLEY
1485 SPRUCE ST STE L
RIVERSIDE, CA 92507-7421
Phone number: 981-682-5998
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Mailing Address
MS. MARY BRANTLEY
1485 SPRUCE ST STE L
RIVERSIDE, CA 92507-7421
Phone number:
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