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1447012596
DESJA BOATNER
RIVERSIDE, CA
NPI
1447012596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
DESJA BOATNER
769 W BLAINE ST STE B
RIVERSIDE, CA 92507-3970
Phone number: 951-358-4705
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Mailing Address
DESJA BOATNER
769 W BLAINE ST STE B
RIVERSIDE, CA 92507-3970
Phone number: 951-490-7034
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