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1972127728
BENJAMIN LARSEN
BOUNTIFUL, UT
NPI
1972127728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-07
Last Update Date
2020-06-07
Business Address
BENJAMIN LARSEN
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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Mailing Address
BENJAMIN LARSEN
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010-8905
Phone number: 801-683-1062
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