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1992202345
BENJAMIN JAMES LEIBOLD
SACRAMENTO, CA
NPI
1992202345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
BENJAMIN JAMES LEIBOLD
610 BERCUT DRIVE SUITE B
SACRAMENTO, CA 95811
Phone number: 916-443-2479
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Mailing Address
BENJAMIN JAMES LEIBOLD
9078 GEYSER PEAK WAY
SACRAMENTO, CA 95829-1251
Phone number:
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