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1225571797
BOBBY DE LA CRUZ
TIGARD, OR
NPI
1225571797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA D6260667)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- BOBBY DE LA CRUZ
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-597-3872
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Mailing Address
-- BOBBY DE LA CRUZ
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-597-3872
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