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1811625494
BAILEY BOSTWICK
MODESTO, CA
NPI
1811625494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
Mr. BAILEY BOSTWICK
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
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Mailing Address
Mr. BAILEY BOSTWICK
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
Copy
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