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1598241085
BUNTHORN OEUR
SAN LEANDRO, CA
NPI
1598241085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 85394)
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2018-07-17
Last Update Date
2018-11-08
Business Address
BUNTHORN OEUR
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
BUNTHORN OEUR
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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