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1720842586
BENJAMIN D LOPEZ
SPRINGFIELD, MO
NPI
1720842586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO BACB970773)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
BENJAMIN D LOPEZ
3048 S CLIFTON AVE
SPRINGFIELD, MO 65807-5957
Phone number: 417-818-5784
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Mailing Address
BENJAMIN D LOPEZ
1032 E COMMERCIAL ST
SPRINGFIELD, MO 65803-3230
Phone number: 214-693-2775
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