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Individual

CAROLYN JEAN BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507-2498
(951) 955-8000
Mailing address
15414 PERRIS BLVD APT B, MORENO VALLEY, CA 92551-4563
(951) 230-7222

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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