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1821363920
BENJAMIN A MALLETT
POMPANO BEACH, FL
NPI
1821363920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Mr. BENJAMIN A MALLETT
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
Mr. BENJAMIN A MALLETT
905 N 150 E APT 8
PROVO, UT 84604-3469
Phone number: 805-550-7509
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