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1386765600
CHERYL BOURNE
JAMAICA, NY
NPI
1386765600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 11761)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Miss CHERYL BOURNE CRC
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
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Mailing Address
Miss CHERYL BOURNE CRC
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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