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1922581156
BONNIE RENEE IRVING
SAN DIEGO, CA
NPI
1922581156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
BONNIE RENEE IRVING CADC-CAS
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
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Mailing Address
BONNIE RENEE IRVING CADC-CAS
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
Copy
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