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1740598283
KAILE NICOLE BRAKE
SACRAMENTO, CA
NPI
1740598283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-17
Last Update Date
2022-01-03
Business Address
Miss KAILE NICOLE BRAKE B.A.
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-935-3552
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Mailing Address
Miss KAILE NICOLE BRAKE B.A.
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-935-3552
Copy
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