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1184244626
DAN'L BENTON
COLTON, CA
NPI
1184244626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1382910420)
Enumeration Date
2020-04-24
Last Update Date
2020-07-16
Business Address
DAN'L BENTON
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
DAN'L BENTON
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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