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1427423029
BENJAMIN NILES
ALISO VIEJO, CA
NPI
1427423029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- BENJAMIN NILES
145 COLUMBIA SUITE 200
ALISO VIEJO, CA 92656-1413
Phone number: 949-228-0985
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Mailing Address
-- BENJAMIN NILES
145 COLUMBIA SUITE 200
ALISO VIEJO, CA 92656-1413
Phone number: 949-228-0985
Copy
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