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1487158614
CYRUS BOLAN
SACRAMENTO, CA
NPI
1487158614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 22948)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
CYRUS BOLAN
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-5656
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Mailing Address
CYRUS BOLAN
1519 55TH ST
SACRAMENTO, CA 95819-4526
Phone number:
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