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1205280344
CHARLES BOSTON
VENTURA, CA
NPI
1205280344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 00700)
Enumeration Date
2016-04-14
Last Update Date
2021-06-03
Business Address
CHARLES BOSTON SUDCC III
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
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Mailing Address
CHARLES BOSTON SUDCC III
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
Copy
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