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1134978448
BENITO GOMEZ
MERCED, CA
NPI
1134978448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1560460524)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
BENITO GOMEZ RADT I
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
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Mailing Address
BENITO GOMEZ RADT I
2852 CENTER ST
STEVINSON, CA 95374-9795
Phone number: 209-226-5765
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