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1295288264
BENJAMIN DICKTER
SCOTT AFB, IL
NPI
1295288264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WY 680)
Enumeration Date
2016-07-26
Last Update Date
2024-08-08
Business Address
BENJAMIN DICKTER
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355
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Mailing Address
BENJAMIN DICKTER
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355
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