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1477001873
BENNY WHITE
ONTARIO, OR
NPI
1477001873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- BENNY WHITE
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
-- BENNY WHITE
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number:
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