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1659880052
JASON DWAYNE BREWER
SAN MATEO, CA
NPI
1659880052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
JASON DWAYNE BREWER
720 S B ST
SAN MATEO, CA 94401-4245
Phone number: 650-579-7881
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Mailing Address
JASON DWAYNE BREWER
720 S B ST
SAN MATEO, CA 94401-4245
Phone number: 650-579-7881
Copy
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