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1134484876
BENJAMIN NELSON
PHOENIX, AZ
NPI
1134484876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2055X Respite Care, Respite Care, Mental Illness, Child
(Licence: AZ 3856919)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
Mr. BENJAMIN NELSON M.A., BHT
4372 E SACK DR
PHOENIX, AZ 85050-3395
Phone number: 480-326-4233
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Mailing Address
Mr. BENJAMIN NELSON M.A., BHT
4372 E SACK DR
PHOENIX, AZ 85050-3395
Phone number: 480-326-4233
Copy
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