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Individual
DAMIEN LEE BENAVIDEZ
Active
Individual
DAMIEN LEE BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADTI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1347350519
CA
Other
Enumeration date
04/02/2019
Last updated
05/14/2020
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