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1265620264
DARRYL EUGENE BOSTON
LOS ANGELES, CA
NPI
1265620264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
Mr. DARRYL EUGENE BOSTON BASW
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-603-7008
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Mailing Address
Mr. DARRYL EUGENE BOSTON BASW
946 MENLO AVE
LOS ANGELES, CA 90006-2804
Phone number: 213-321-7466
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