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1104174788
BENJAMIN DUNCAN ROTH
SAN MARCOS, CA
NPI
1104174788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-08-29
Last Update Date
2013-03-01
Business Address
BENJAMIN DUNCAN ROTH
340 RANCHEROS DR
SAN MARCOS, CA 92069-2900
Phone number: 760-744-3672
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Mailing Address
BENJAMIN DUNCAN ROTH
1350 MORNING VIEW DR
ESCONDIDO, CA 92026-4264
Phone number: 858-880-8704
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