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1174851257
RICHARD BOLTER
RIVERSIDE, CA
NPI
1174851257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-11-30
Last Update Date
2022-08-18
Business Address
RICHARD BOLTER
2085 RUSTIN AVE # 3
RIVERSIDE, CA 92507-2498
Phone number: 760-770-2241
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Mailing Address
RICHARD BOLTER
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 760-770-2264
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