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1205022548
BENARD R. BASEEL
GARDEN GROVE, CA
NPI
1205022548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
-- BENARD R. BASEEL
9842 13TH ST
GARDEN GROVE, CA 92844-3171
Phone number: 714-531-4624
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Mailing Address
-- BENARD R. BASEEL
1021 MYRTLE AVE APT C
LONG BEACH, CA 90813-3545
Phone number: 714-531-4624
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