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1578612933
BENNIE ROBERT NOVELL
TEMECULA, CA
NPI
1578612933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 25733)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- BENNIE ROBERT NOVELL LMFT
29748 RANCHO CALIFORNIA RD
TEMECULA, CA 92591-5286
Phone number: 951-694-0695
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Mailing Address
-- BENNIE ROBERT NOVELL LMFT
29748 RANCHO CALIFORNIA RD
TEMECULA, CA 92591-5286
Phone number: 951-694-0695
Copy
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