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1164952230
JOEL LEE BOSS
INDIO, CA
NPI
1164952230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A02930315)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
Mr. JOEL LEE BOSS CADC-II/ICADC
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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Mailing Address
Mr. JOEL LEE BOSS CADC-II/ICADC
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
Copy
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