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1770808024
SAMUEL CODY BRADSHAW
SAN DIEGO, CA
NPI
1770808024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-03-30
Last Update Date
2010-03-30
Business Address
-- SAMUEL CODY BRADSHAW
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4669
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Mailing Address
-- SAMUEL CODY BRADSHAW
9445 FARNHAM ST
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4669
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