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1144827601
DOLORES MARY BENISON-GLOVER
SANTA ANA, CA
NPI
1144827601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA VN247827)
Enumeration Date
2020-10-07
Last Update Date
2020-11-16
Business Address
DOLORES MARY BENISON-GLOVER LVN
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
DOLORES MARY BENISON-GLOVER LVN
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
Copy
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