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1366206005
LUIS RUBEN BONILLA
YUMA, AZ
NPI
1366206005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-22781)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
LUIS RUBEN BONILLA LPC
2229 W 16TH PL
YUMA, AZ 85364-5141
Phone number: 928-581-0185
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Mailing Address
LUIS RUBEN BONILLA LPC
2229 W 16TH PL
YUMA, AZ 85364-5141
Phone number: 928-581-0185
Copy
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