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1861535031
BOLIVAR BUENO
WORCESTER, MA
NPI
1861535031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-15
Last Update Date
2007-07-09
Business Address
Mr. BOLIVAR BUENO M.A.
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-854-3320
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Mailing Address
Mr. BOLIVAR BUENO M.A.
585 LINCOLN ST
WORCESTER, MA 01605-1906
Phone number: 508-854-3320
Copy
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