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1134985542
BENJAMIN LARSON
BOARDMAN, OH
NPI
1134985542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OH C.2405604-TRNE)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
BENJAMIN LARSON
997 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512-4223
Phone number: 330-758-0101
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Mailing Address
BENJAMIN LARSON
2980 BELMONT AVE
YOUNGSTOWN, OH 44505-1834
Phone number: 330-759-0276
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