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1275747453
DENNIS BOCANEGRA
FULLERTON, CA
NPI
1275747453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
MR. DENNIS BOCANEGRA
1501 W BAKER AVE
FULLERTON, CA 92833-4519
Phone number: 818-269-0650
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Mailing Address
MR. DENNIS BOCANEGRA
1501 W BAKER AVE
FULLERTON, CA 92833-4519
Phone number:
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