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1225201593
DESIRAY BUNTAIN
PICO RIVERA, CA
NPI
1225201593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
-- DESIRAY BUNTAIN
5200 SAN GABRIEL PL
PICO RIVERA, CA 90660-2497
Phone number: 562-222-1331
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Mailing Address
-- DESIRAY BUNTAIN
5200 SAN GABRIEL PL
PICO RIVERA, CA 90660-2497
Phone number:
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