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1104247352
BONNIE BIRGE
SAN JOSE, CA
NPI
1104247352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
BONNIE BIRGE
2218 N 1ST ST
SAN JOSE, CA 95131-2007
Phone number: 408-538-0886
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Mailing Address
BONNIE BIRGE
935 SCOTT CT
CAMPBELL, CA 95008-6430
Phone number:
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