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1023447059
JOSE BONILLA
VAN NUYS, CA
NPI
1023447059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- JOSE BONILLA
6265 SEPULVEDA 9
VAN NUYS, CA 91411
Phone number: 818-468-7413
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Mailing Address
-- JOSE BONILLA
6265 SEPUVEDA BLVD
VAN NUYS, CA 91411
Phone number: 818-468-7413
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