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1104435601
BENJAMIN BERKLEY ROSS
EUREKA, CA
NPI
1104435601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
BENJAMIN BERKLEY ROSS
1100 CALIFORNIA ST
EUREKA, CA 95501-1621
Phone number: 707-445-1339
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Mailing Address
BENJAMIN BERKLEY ROSS
904 G ST
EUREKA, CA 95501-1829
Phone number: 707-269-2001
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