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1619338845
JOSE BENITEZ
LOS ANGELES, CA
NPI
1619338845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A02350315)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
-- JOSE BENITEZ
2307 W. 6TH STREET
LOS ANGELES, CA 90057
Phone number: 213-351-2825
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Mailing Address
-- JOSE BENITEZ
2307 W 6TH ST
LOS ANGELES, CA 90057-3119
Phone number:
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