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1205119955
SANDRA BENITEZ ROSALAS
PERRIS, CA
NPI
1205119955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- SANDRA BENITEZ ROSALAS
2055 N PERRIS BLVD STE G
PERRIS, CA 92571-2509
Phone number: 951-674-5354
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Mailing Address
-- SANDRA BENITEZ ROSALAS
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-674-5354
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