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1881922896
CHARLES BRANNON
GRASS VALLEY, CA
NPI
1881922896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-02
Last Update Date
2009-12-02
Business Address
-- CHARLES BRANNON
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
-- CHARLES BRANNON
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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