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1932445319
BENJAMIN WALTER BAKER
GRANTS PASS, OR
NPI
1932445319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
BENJAMIN WALTER BAKER
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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Mailing Address
BENJAMIN WALTER BAKER
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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