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1790099000
DAVID ARTHUR BOSCOW
ROSEVILLE, CA
NPI
1790099000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-B1004231543)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
-- DAVID ARTHUR BOSCOW
2281 LAVA RIDGE CT STE 140
ROSEVILLE, CA 95661-2804
Phone number: 916-771-3707
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Mailing Address
-- DAVID ARTHUR BOSCOW
2281 LAVA RIDGE CT STE 140
ROSEVILLE, CA 95661-2804
Phone number: 916-771-3707
Copy
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