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1104837004
JENNIFER L BOSTIC
SELLERSVILLE, PA
NPI
1104837004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- JENNIFER L BOSTIC B.S.
807 LAWN AVE
SELLERSVILLE, PA 18960-1549
Phone number: 215-257-6551
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Mailing Address
-- JENNIFER L BOSTIC B.S.
807 LAWN AVE
SELLERSVILLE, PA 18960-1549
Phone number: 215-257-6551
Copy
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