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1972166460
BOBBY GOLOB AVALOS
SANTA ANA, CA
NPI
1972166460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1267640917)
Enumeration Date
2019-04-19
Last Update Date
2019-04-19
Business Address
BOBBY GOLOB AVALOS RADT-1
1225 W 6TH ST
SANTA ANA, CA 92703-2101
Phone number: 714-972-1402
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Mailing Address
BOBBY GOLOB AVALOS RADT-1
1225 W 6TH ST
SANTA ANA, CA 92703-2101
Phone number: 714-972-1402
Copy
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