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1447840525
GABRIEL BENAVIDES
RIVERSIDE, CA
NPI
1447840525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
GABRIEL BENAVIDES
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7291
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Mailing Address
GABRIEL BENAVIDES
1553 MOUNTAIN VIEW TRL
BEAUMONT, CA 92223-4621
Phone number: 310-749-0851
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