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1023440591
RYAN JOSHUA BENTICK
CARSON, CA
NPI
1023440591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Mr. RYAN JOSHUA BENTICK
21828 S. AVALON BLVD
CARSON, CA 90745-3303
Phone number: 424-477-5225
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Mailing Address
Mr. RYAN JOSHUA BENTICK
21828 S. AVALON BLVD
CARSON, CA 90745-3303
Phone number: 424-477-5225
Copy
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