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1902085004
DWAYNE A BENNETT
OAKLAND, CA
NPI
1902085004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-25
Last Update Date
2007-11-06
Business Address
Mr. DWAYNE A BENNETT
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
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Mailing Address
Mr. DWAYNE A BENNETT
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-531-3111
Copy
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