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1053892653
BENJAMIN WAYNE JOHNSON
CLACKAMAS, OR
NPI
1053892653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
BENJAMIN WAYNE JOHNSON CNA
12901 SE 97TH AVE STE 180
CLACKAMAS, OR 97015-7903
Phone number: 971-206-6337
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Mailing Address
BENJAMIN WAYNE JOHNSON CNA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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