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1720466493
JACOB PHILIP BENNING
PARADISE, CA
NPI
1720466493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-05-13
Last Update Date
2015-08-28
Business Address
Mr. JACOB PHILIP BENNING
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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Mailing Address
Mr. JACOB PHILIP BENNING
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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