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1972698603
BOB BYRON BOECKMAN
COSTA MESA, CA
NPI
1972698603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. BOB BYRON BOECKMAN
1940 MAPLE AVE B3
COSTA MESA, CA 92627-5573
Phone number: 171-454-3543
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Mailing Address
Mr. BOB BYRON BOECKMAN
1940 MAPLE AVE B3
COSTA MESA, CA 92627-5573
Phone number: 171-454-3543
Copy
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