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1295104420
ROBERT BOSTONIAN
SAN RAFAEL, CA
NPI
1295104420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 122932)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- ROBERT BOSTONIAN
67 GRANDE PASEO
SAN RAFAEL, CA 94903-1555
Phone number: 415-535-5554
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Mailing Address
-- ROBERT BOSTONIAN
PO BOX 3517
SAN RAFAEL, CA 94912-3517
Phone number: 415-535-5554
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