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1982823944
ALFREDA YVONNE BANTUM
SAN BERNARDINO, CA
NPI
1982823944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 55644)
Additional Taxonomies
251S00000X
Enumeration Date
2007-04-25
Last Update Date
2013-03-15
Business Address
Ms. ALFREDA YVONNE BANTUM M.S.
1505 W HIGHLAND AVE STE 17
SAN BERNARDINO, CA 92411-1215
Phone number: 909-880-9130
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Mailing Address
Ms. ALFREDA YVONNE BANTUM M.S.
20426 TOBIRA LN
RIVERSIDE, CA 92508-3030
Phone number: 951-756-9637
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