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1366600454
ANTHONY BODLOVIC
LOS ANGELES, CA
NPI
1366600454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- ANTHONY BODLOVIC
12420 VENICE BLVD 200
LOS ANGELES, CA 90066-3840
Phone number: 310-751-1200
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Mailing Address
-- ANTHONY BODLOVIC
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number:
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