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1790089589
NICOLE AMELIA BENNETT
FRESNO, CA
NPI
1790089589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-01-07
Last Update Date
2011-01-07
Business Address
Ms. NICOLE AMELIA BENNETT
7170 N FINANCIAL DR STE 135
FRESNO, CA 93720-2978
Phone number: 559-221-8100
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Mailing Address
Ms. NICOLE AMELIA BENNETT
1830 DAIRY AVE APT 314
CORCORAN, CA 93212-2985
Phone number: 559-381-6434
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