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1568993020
BENJAMIN ALAN BOUDREAU
LANCASTER, CA
NPI
1568993020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1223910316)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
Mr. BENJAMIN ALAN BOUDREAU RADT I
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
Mr. BENJAMIN ALAN BOUDREAU RADT I
2225 W AVENUE K10
LANCASTER, CA 93536-4602
Phone number: 805-559-3502
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