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1003273558
CELINA CONCEPCION BENAVIDES
FONTANA, CA
NPI
1003273558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT36261)
Enumeration Date
2016-01-27
Last Update Date
2019-09-18
Business Address
CELINA CONCEPCION BENAVIDES Lpt
14677 MERRILL AVE
FONTANA, CA 92335
Phone number: 951-643-2340
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Mailing Address
CELINA CONCEPCION BENAVIDES Lpt
233 W. BASELINE RD BOX 400
LA VERNE, CA 91750
Phone number: 909-833-2986
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