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1700444502
BENJAMIN JOHN CREIGHTON
CORONA, CA
NPI
1700444502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
BENJAMIN JOHN CREIGHTON
1239 LONGPORT WAY
CORONA, CA 92881-0982
Phone number: 317-270-8301
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Mailing Address
BENJAMIN JOHN CREIGHTON
1239 LONGPORT WAY
CORONA, CA 92881-0982
Phone number: 317-270-8301
Copy
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