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1801505367
BRACE BACON
LOS ANGELES, CA
NPI
1801505367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2022-11-23
Last Update Date
2022-11-23
Business Address
BRACE BACON
11710 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5006
Phone number: 323-405-7255
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Mailing Address
BRACE BACON
1011 PALM AVE APT 301
WEST HOLLYWOOD, CA 90069-4092
Phone number:
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