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LESLEY ANNE BRANDENBURG

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1417458563

Individual Registrant:
 LESLEY ANNE BRANDENBURG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3717 MT. PINOS WAY  FRAZIER PARK, CA 93225 US
Tel: 661-245-0250  Fax: 661-245-0252

Contact information for business:
3105 WILSON RD  BAKERSFIELD, CA 93304-5319 US
Tel: 661-397-8775  Fax: 661-397-8286

Registration Information:
NPI: 1417458563
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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