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1174843072
DEBORAH BUKOLT
SAN DIEGO, CA
NPI
1174843072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-03
Last Update Date
2011-06-07
Business Address
-- DEBORAH BUKOLT
2772 4TH AVE
SAN DIEGO, CA 92103-6206
Phone number: 619-295-6067
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Mailing Address
-- DEBORAH BUKOLT
355 C AVE
CORONADO, CA 92118-1405
Phone number: 619-319-7789
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