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1790564185
NATHAN BENHAM
KLAMATH FALLS, OR
NPI
1790564185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A14350)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
NATHAN BENHAM
4134 MONROVIA WAY
KLAMATH FALLS, OR 97603-7748
Phone number: 651-387-9099
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Mailing Address
NATHAN BENHAM
4134 MONROVIA WAY
KLAMATH FALLS, OR 97603-7748
Phone number: 651-387-9099
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