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1598001893
TIKI BRUMMUND
KINGMAN, AZ
NPI
1598001893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-11801)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
-- TIKI BRUMMUND MA, LISAC, BHP
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ 86401-4698
Phone number: 928-718-4800
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Mailing Address
-- TIKI BRUMMUND MA, LISAC, BHP
2002 N STOCKTON HILL RD STE 104
KINGMAN, AZ 86401-4698
Phone number: 928-718-4800
Copy
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