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1861168254
CARLOS EDUARDO BONILLA
RIVERSIDE, CA
NPI
1861168254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
CARLOS EDUARDO BONILLA Counselor-Mental Hea
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-570-2775
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Mailing Address
CARLOS EDUARDO BONILLA Counselor-Mental Hea
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-570-2775
Copy
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