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1992307722
KENNETH DUANE BOLINT
CHULA VISTA, CA
NPI
1992307722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
Mr. KENNETH DUANE BOLINT
1180 3RD AVE STE C3
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
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Mailing Address
Mr. KENNETH DUANE BOLINT
1180 3RD AVE STE C3
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
Copy
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