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1104094697
LUKE LAZAR BENOIT
SANTA ANA, CA
NPI
1104094697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18344)
Enumeration Date
2008-02-18
Last Update Date
2024-08-01
Business Address
LUKE LAZAR BENOIT
1225 W 6TH ST
SANTA ANA, CA 92703-2101
Phone number: 714-972-1402
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Mailing Address
LUKE LAZAR BENOIT
1225 W 6TH ST
SANTA ANA, CA 92703-2101
Phone number: 714-972-1402
Copy
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