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1063892156
BENJAMIN WEIDMAN
BOULDER, CO
NPI
1063892156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-06-03
Last Update Date
2015-06-03
Business Address
Mr. BENJAMIN WEIDMAN
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-413-6282
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Mailing Address
Mr. BENJAMIN WEIDMAN
2912 SUGARLOAF RD
BOULDER, CO 80302-9245
Phone number: 907-305-0627
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