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1770909574
JOSEPH BAMBOLA
SAN ANTONIO, TX
NPI
1770909574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10753)
Enumeration Date
2014-03-17
Last Update Date
2014-03-17
Business Address
-- JOSEPH BAMBOLA
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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Mailing Address
-- JOSEPH BAMBOLA
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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