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1073833182
JASON BENNELL LEE
RIVERSIDE, CA
NPI
1073833182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-11
Last Update Date
2010-06-11
Business Address
Mr. JASON BENNELL LEE
4560 CIRCLE LAZY J RD
RIVERSIDE, CA 92501-2043
Phone number: 951-682-1257
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Mailing Address
Mr. JASON BENNELL LEE
4560 CIRCLE LAZY J RD
RIVERSIDE, CA 92501-2043
Phone number: 951-682-1257
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