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1851640247
JEREMIAH BRUBAKER
FRESNO, CA
NPI
1851640247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-31
Last Update Date
2013-01-11
Business Address
Mr. JEREMIAH BRUBAKER
4705 N SONORA AVE SUITE 113
FRESNO, CA 93722-3966
Phone number: 559-276-7558
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Mailing Address
Mr. JEREMIAH BRUBAKER
4705 N SONORA AVE STE. 113
FRESNO, CA 93722-3966
Phone number: 559-276-7558
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