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1134542418
BENITO MENDOZA
RESEDA, CA
NPI
1134542418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- BENITO MENDOZA
7232 CANBY AVE STE 456
RESEDA, CA 91335-3006
Phone number: 818-705-5561
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Mailing Address
-- BENITO MENDOZA
7232 CANBY AVE STE 456
RESEDA, CA 91335-3006
Phone number: 818-705-5561
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