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1649659723
RAYMOND BENNETT
SAN DIEGO, CA
NPI
1649659723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW7587)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- RAYMOND BENNETT
7020 FRIARS ROAD 7020 FRIARS ROAD
SAN DIEGO, CA 92108
Phone number: 619-718-9890
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Mailing Address
-- RAYMOND BENNETT
5037 NARAGANSET #3 5037 NARAGANSET #3
SAN DIEGO, CA 92107
Phone number: 619-694-6880
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