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1982173274
DANIEL WAYNE BROWN
CERES, CA
NPI
1982173274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
DANIEL WAYNE BROWN RADT
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2573
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Mailing Address
DANIEL WAYNE BROWN RADT
2521 MILLER AVE APT 55
MODESTO, CA 95354-3179
Phone number: 209-735-2689
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