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1790422913
BRADLY JOEL BRENT
BAKERSFIELD, CA
NPI
1790422913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
BRADLY JOEL BRENT
531 KNOTTS ST
BAKERSFIELD, CA 93305-3043
Phone number: 661-325-1817
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Mailing Address
BRADLY JOEL BRENT
PO BOX 3218
BAKERSFIELD, CA 93385-3218
Phone number: 661-325-1817
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