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1073012472
BRIAN BOGNER
BERKELEY, CA
NPI
1073012472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
BRIAN BOGNER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
BRIAN BOGNER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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