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1588330518
GENTRY BOMAN
SAN DIEGO, CA
NPI
1588330518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
GENTRY BOMAN SUDRC
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 196-523-8121
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Mailing Address
GENTRY BOMAN SUDRC
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 196-523-8121
Copy
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