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1801144498
BRADLEY DEAN LONG
CHICO, CA
NPI
1801144498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-L1108311119)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
Mr. BRADLEY DEAN LONG RASi
40 LANDING CIRCLE SUITE #1
CHICO, CA 95973
Phone number: 530-898-8326
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Mailing Address
Mr. BRADLEY DEAN LONG RASi
40 LANDING CIRCLE SUITE #1
CHICO, CA 95973
Phone number: 530-898-8326
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