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1710712807
BRANDON RODRIGUEZ-THEODORE
SANTA ANA, CA
NPI
1710712807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
BRANDON RODRIGUEZ-THEODORE
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-312-7519
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Mailing Address
BRANDON RODRIGUEZ-THEODORE
14252 CULVER DR STE A
IRVINE, CA 92604-0326
Phone number:
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