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1518413269
BENJAMIN ROSS
PORTAGE, MI
NPI
1518413269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-08-31
Last Update Date
2022-07-21
Business Address
-- BENJAMIN ROSS
526 W CENTRE AVE
PORTAGE, MI 49024-5306
Phone number: 269-321-9556
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Mailing Address
-- BENJAMIN ROSS
526 W CENTRE AVE
PORTAGE, MI 49024-5306
Phone number: 269-321-9556
Copy
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