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1104459312
BENJAMIN BAUER
OTSEGO, MN
NPI
1104459312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-16
Last Update Date
2020-02-16
Business Address
BENJAMIN BAUER MA
9245 QUANTRELLE AVE
OTSEGO, MN 55330
Phone number: 763-746-9492
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Mailing Address
BENJAMIN BAUER MA
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number:
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