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1417720541
JOSE JR CARREON-BENNETT
LANCASTER, CA
NPI
1417720541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
JOSE JR CARREON-BENNETT
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-266-4783
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Mailing Address
JOSE JR CARREON-BENNETT
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 714-603-5070
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