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1255890760
BRUCE JOHN BAUER
ANTIOCH, CA
NPI
1255890760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
BRUCE JOHN BAUER
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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Mailing Address
BRUCE JOHN BAUER
477 TURRIN DR
PLEASANT HILL, CA 94523-3234
Phone number: 925-754-3673
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