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1306083621
BENJAMIN BREWER
LAKE ELSINORE, CA
NPI
1306083621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
-- BENJAMIN BREWER CAS
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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Mailing Address
-- BENJAMIN BREWER CAS
600 3RD ST
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
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