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1548033863
DEVONTE BENNETT
RIVERSIDE, CA
NPI
1548033863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
Mr. DEVONTE BENNETT
1450 UNIVERSITY AVE # F508
RIVERSIDE, CA 92507-4467
Phone number: 928-817-7603
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Mailing Address
Mr. DEVONTE BENNETT
1450 UNIVERSITY AVE # F508
RIVERSIDE, CA 92507-4467
Phone number: 928-817-7603
Copy
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