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1447465976
COLLINS BENYE
HAWTHORNE, CA
NPI
1447465976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: CA RI-B0509271001)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mr. COLLINS BENYE
11633 HAWTHORNE BLVD 210
HAWTHORNE, CA 90250-2321
Phone number: 310-978-0461
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Mailing Address
Mr. COLLINS BENYE
1951 S SHERBOURNE DR APT 3
LOS ANGELES, CA 90034-1342
Phone number: 310-815-8846
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