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1124777040
BENJAMIN JACOB BAUM
CONROE, TX
NPI
1124777040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
Mr. BENJAMIN JACOB BAUM
925 CITY CENTRAL AVE
CONROE, TX 77304-2981
Phone number: 936-202-5202
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Mailing Address
Mr. BENJAMIN JACOB BAUM
12190 COUNTY ROAD 4083
SCURRY, TX 75158-3506
Phone number: 979-587-2822
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