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1730636598
DANIEL BOLANDER
VENICE, CA
NPI
1730636598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA ri1237800916)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
-- DANIEL BOLANDER
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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Mailing Address
-- DANIEL BOLANDER
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
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