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1861539447
RICHARD G BODEN
OAKLAND, CA
NPI
1861539447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- RICHARD G BODEN
611 E 20TH ST APT 208
OAKLAND, CA 94606-1975
Phone number: 510-414-4514
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Mailing Address
-- RICHARD G BODEN
611 E 20TH ST APT 208
OAKLAND, CA 94606-1975
Phone number: 510-414-4514
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