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1972021780
BRACY SMITH
SAN DIEGO, CA
NPI
1972021780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-31
Last Update Date
2023-05-09
Business Address
BRACY SMITH
2351 CARDINAL LN
SAN DIEGO, CA 92123-3743
Phone number: 858-573-2227
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Mailing Address
BRACY SMITH
2351 CARDINAL LN
SAN DIEGO, CA 92123-3743
Phone number: 858-573-2227
Copy
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