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1982098935
BRIAN MATTHEW BOULTER
LOS ANGELES, CA
NPI
1982098935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-26
Last Update Date
2016-05-27
Business Address
-- BRIAN MATTHEW BOULTER RDAT-1
1270 S ALFRED ST UNIT 351371
LOS ANGELES, CA 90035-8057
Phone number: 424-381-1422
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Mailing Address
-- BRIAN MATTHEW BOULTER RDAT-1
1270 S ALFRED ST UNIT 351371
LOS ANGELES, CA 90035-8057
Phone number: 424-381-1422
Copy
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