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1477183705
BENJAMIN C JENSEN
SAN JOSE, CA
NPI
1477183705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 308702-6004)
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
BENJAMIN C JENSEN
1366 PETAL WAY
SAN JOSE, CA 95129-4722
Phone number: 570-367-9785
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Mailing Address
BENJAMIN C JENSEN
1366 PETAL WAY
SAN JOSE, CA 95129-4722
Phone number: 570-367-9785
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