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1063644763
LARRY BERNARD BOGLIN
COMPTON, CA
NPI
1063644763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 081793)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
Mr. LARRY BERNARD BOGLIN
369 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-603-6555
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Mailing Address
Mr. LARRY BERNARD BOGLIN
369 W. COMPTON BLVD
COMPTON, CA 90220
Phone number: 310-603-6555
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