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1811514706
BENJAMIN DORAN LEMMON
POCATELLO, ID
NPI
1811514706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
BENJAMIN DORAN LEMMON
1626 S VON ELM ST APT 2
POCATELLO, ID 83201-2457
Phone number: 208-220-2552
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Mailing Address
BENJAMIN DORAN LEMMON
1626 S VON ELM ST APT 2
POCATELLO, ID 83201-2457
Phone number: 208-220-2552
Copy
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