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1447085121
BENJAMIN GIFT
TUSTIN, CA
NPI
1447085121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci43040624)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
BENJAMIN GIFT CADC-I
15631 WILLIAMS ST APT 70
TUSTIN, CA 92780-4832
Phone number: 815-616-0884
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Mailing Address
BENJAMIN GIFT CADC-I
15631 WILLIAMS ST APT 70
TUSTIN, CA 92780-4832
Phone number: 815-616-0884
Copy
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