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1407191877
ESHELLE BENNETT
VICTORVILLE, CA
NPI
1407191877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW6488)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
-- ESHELLE BENNETT RRW
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
-- ESHELLE BENNETT RRW
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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