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1326736471
BENJAMIN D CLARK
FARMVILLE, NC
NPI
1326736471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
BENJAMIN D CLARK
4225 E CHURCH ST
FARMVILLE, NC 27828-1690
Phone number: 252-717-4090
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Mailing Address
BENJAMIN D CLARK
4225 E CHURCH ST
FARMVILLE, NC 27828-1690
Phone number: 252-717-4090
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