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1114146008
BENJAMIN CARY COPPOCK
CAMARILLO, CA
NPI
1114146008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. BENJAMIN CARY COPPOCK
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-445-7800
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Mailing Address
Mr. BENJAMIN CARY COPPOCK
2481 ABBEYWOOD CT
SIMI VALLEY, CA 93063-2549
Phone number: 805-813-2281
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