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1992946297
JEFFREY LYNN BOONE
CERES, CA
NPI
1992946297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
-- JEFFREY LYNN BOONE
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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Mailing Address
-- JEFFREY LYNN BOONE
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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