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1467613505
BOJ NUEVA
WILMINGTON, CA
NPI
1467613505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-20
Last Update Date
2008-06-20
Business Address
-- BOJ NUEVA
1322 N AVALON BLVD
WILMINGTON, CA 90744-2639
Phone number: 310-513-1300
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Mailing Address
-- BOJ NUEVA
15118 COLONY CT
PARAMOUNT, CA 90723-3591
Phone number: 562-235-5075
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