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1194231480
BRUCE KEVIN BOTHWELL
SAN FRANCISCO, CA
NPI
1194231480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
BRUCE KEVIN BOTHWELL
1111 MARKET ST
SAN FRANCISCO, CA 94103-1513
Phone number: 415-863-3883
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Mailing Address
BRUCE KEVIN BOTHWELL
6701 PINEHAVEN RD
OAKLAND, CA 94611-1013
Phone number:
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