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1336327352
THERESA ELIZABETH BULLARD
SAN JACINTO, CA
NPI
1336327352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-31
Last Update Date
2008-01-31
Business Address
Mrs. THERESA ELIZABETH BULLARD C A S II
2220 GIRARD ST
SAN JACINTO, CA 92583-5301
Phone number: 951-925-8450
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Mailing Address
Mrs. THERESA ELIZABETH BULLARD C A S II
2220 GIRARD ST
SAN JACINTO, CA 92583-5301
Phone number: 951-925-8450
Copy
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