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1871617803
LEE BOONE
BERKELEY, CA
NPI
1871617803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-16
Last Update Date
2015-09-10
Business Address
Mr. LEE BOONE
2975 SACRAMENTO ST
BERKELEY, CA 94702-2534
Phone number: 415-740-5591
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Mailing Address
Mr. LEE BOONE
PO BOX 767
SUISUN CITY, CA 94585-0767
Phone number:
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