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1497455505
BRIAN MIKHAIL
BLOOMINGTON, CA
NPI
1497455505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
BRIAN MIKHAIL
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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Mailing Address
BRIAN MIKHAIL
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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