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1982466850
BENJAMIN BLACK
ANKENY, IA
NPI
1982466850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
Mr. BENJAMIN BLACK
501 SW ANKENY RD
ANKENY, IA 50023-9702
Phone number: 515-289-2272
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Mailing Address
Mr. BENJAMIN BLACK
1111 UNIVERSITY AVE
DES MOINES, IA 50314-2329
Phone number: 515-288-1981
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