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1144795923
BRUCE ALLEN BOSTIC
LOS ANGELES, CA
NPI
1144795923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
BRUCE ALLEN BOSTIC
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number:
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Mailing Address
BRUCE ALLEN BOSTIC
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
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