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1003638792
BENJAMIN CLARK
IRVING, TX
NPI
1003638792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
BENJAMIN CLARK
320 DECKER DR
IRVING, TX 75062-3999
Phone number: 972-585-7030
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Mailing Address
BENJAMIN CLARK
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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