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1629328158
BENNY BENJAMIN PAVLATOS
RICHMOND, CA
NPI
1629328158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- BENNY BENJAMIN PAVLATOS
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
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Mailing Address
-- BENNY BENJAMIN PAVLATOS
84 BROADWAY
RICHMOND, CA 94804-1910
Phone number: 510-231-7812
Copy
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