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1376730333
MICHAEL LUIS BENNETT
LOS ANGELES, CA
NPI
1376730333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-03
Last Update Date
2017-10-12
Business Address
MICHAEL LUIS BENNETT
3421 E OLYMPIC BLVD
LOS ANGELES, CA 90023-3030
Phone number: 323-262-1786
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Mailing Address
MICHAEL LUIS BENNETT
3311 CARLYLE ST
LOS ANGELES, CA 90065-2840
Phone number: 323-254-7487
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