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1720855869
BRANDEN RODGER PAULSON
TARZANA, CA
NPI
1720855869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1515280723)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
Mr. BRANDEN RODGER PAULSON RADT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
Mr. BRANDEN RODGER PAULSON RADT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Copy
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