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1366813891
KASANDRA BRAVO
OCEANSIDE, CA
NPI
1366813891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
Miss KASANDRA BRAVO
4210 BORRA CT
OCEANSIDE, CA 92056-3461
Phone number: 760-917-0958
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Mailing Address
Miss KASANDRA BRAVO
4210 BORRA CT
OCEANSIDE, CA 92056
Phone number: 760-917-0958
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