BENJAMIN GAINES

PEYTON, CO
NPI1710351127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CO  2099)
Enumeration Date2015-11-23
Last Update Date2021-05-12
Business Address
BENJAMIN GAINES
13039 FALCON HIGHWAY
PEYTON, CO 80831-8024
Phone number: 719-209-3365
Mailing Address
BENJAMIN GAINES
13039 FALCON HIGHWAY
PEYTON, CO 80831-8024
Phone number: 719-209-3365
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