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1548541287
BRUCE ALAN IVEY
CARMICHAEL, CA
NPI
1548541287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-08
Last Update Date
2016-10-14
Business Address
Mr. BRUCE ALAN IVEY
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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Mailing Address
Mr. BRUCE ALAN IVEY
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608-4818
Phone number: 916-974-8090
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