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1245952001
BENJAMIN KENNETH GAGE
VANCOUVER, WA
NPI
1245952001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61357226)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
BENJAMIN KENNETH GAGE
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3965
Phone number: 360-831-0904
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Mailing Address
BENJAMIN KENNETH GAGE
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 253-681-6603
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