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1093991085
JOHN G AGBOOLA
NEW BEDFORD, MA
NPI
1093991085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-21
Last Update Date
2008-01-21
Business Address
-- JOHN G AGBOOLA
100 N FRONT ST
NEW BEDFORD, MA 02740-7350
Phone number: 508-994-0885
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Mailing Address
-- JOHN G AGBOOLA
76 CARRIAGE DR
NEW BEDFORD, MA 02740-1872
Phone number: 508-993-6255
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