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1245994979
BENJAMIN DANIEL CORNELL
BAKER CITY, OR
NPI
1245994979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR QMHA-R)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
BENJAMIN DANIEL CORNELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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Mailing Address
BENJAMIN DANIEL CORNELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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