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1912368580
BICENTE BERMEJO
MERCED, CA
NPI
1912368580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B1301032105)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
-- BICENTE BERMEJO
2222 M ST
MERCED, CA 95340-3729
Phone number: 209-385-7434
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Mailing Address
-- BICENTE BERMEJO
1400 E 23RD ST
MERCED, CA 95340-4109
Phone number: 209-631-9093
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