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1679280242
KEVIN BOSTICK
VICTORVILLE, CA
NPI
1679280242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1469900522)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
KEVIN BOSTICK
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
KEVIN BOSTICK
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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