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1790158210
MARK BENISH
LONE TREE, CO
NPI
1790158210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CO NLC.0012398)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- MARK BENISH MA
9362 TEDDY LN
LONE TREE, CO 80124-2870
Phone number: 303-549-4847
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Mailing Address
-- MARK BENISH MA
6097 CANTRELL WAY
PARKER, CO 80134-5637
Phone number: 303-549-4847
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