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1962752345
BENJAMIN A. ROOT
MCMINNVILLE, OR
NPI
1962752345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YS0200X Counselor, School
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- BENJAMIN A. ROOT
420 NE 5TH ST MOORE BUILDING
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
-- BENJAMIN A. ROOT
420 NE 5TH ST MOORE BUILDING
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
Copy
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