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1285148858
PAUL DOMINIC BOCANEGRA
BERKELEY, CA
NPI
1285148858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-19
Last Update Date
2017-11-19
Business Address
PAUL DOMINIC BOCANEGRA
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
PAUL DOMINIC BOCANEGRA
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Copy
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