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1134881451
BENJAMIN BLISS SAFSTROM
VENTURA, CA
NPI
1134881451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-13
Last Update Date
2023-06-15
Business Address
BENJAMIN BLISS SAFSTROM
640 CHESAPEAKE PL
VENTURA, CA 93004-3786
Phone number: 805-765-7112
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Mailing Address
BENJAMIN BLISS SAFSTROM
640 CHESAPEAKE PL
VENTURA, CA 93004-3786
Phone number: 805-765-7112
Copy
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