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1376056200
JUSTIN JOHN BRINCKO
CULVER CITY, CA
NPI
1376056200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
JUSTIN JOHN BRINCKO
5769 UPLANDER WAY
CULVER CITY, CA 90230-6605
Phone number: 310-337-9800
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Mailing Address
JUSTIN JOHN BRINCKO
5769 UPLANDER WAY
CULVER CITY, CA 90230-6605
Phone number: 310-337-9800
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