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1295074284
BENJAMIN AMOS BLACKMON
OAKLAND, CA
NPI
1295074284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
Mr. BENJAMIN AMOS BLACKMON
111 MYRTLE ST STE 102
OAKLAND, CA 94607-2535
Phone number: 510-839-3800
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Mailing Address
Mr. BENJAMIN AMOS BLACKMON
111 MYRTLE ST STE 102
OAKLAND, CA 94607-2535
Phone number: 510-839-3800
Copy
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