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1154036309
BENNIE ISAIAH HARRIS
GRANADA HILLS, CA
NPI
1154036309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA 94027270)
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
MR. BENNIE ISAIAH HARRIS
16800 DEVONSHIRE ST STE 301
GRANADA HILLS, CA 91344-7410
Phone number: 818-425-2261
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Mailing Address
MR. BENNIE ISAIAH HARRIS
14625 MAGNOLIA BLVD APT 12
SHERMAN OAKS, CA 91403-1453
Phone number: 706-761-8729
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