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1699116897
LARRY RUBEN BULLARD
LA VERNE, CA
NPI
1699116897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW35370)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
-- LARRY RUBEN BULLARD ASW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-596-5921
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Mailing Address
-- LARRY RUBEN BULLARD ASW
1350 3RD ST
LA VERNE, CA 91750-5201
Phone number: 909-596-5921
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