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Individual

MR. BENTON EDWARD PRICE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 536-1015
Mailing address
1814B ELUWENE ST, HONOLULU, HI 96819-4027
(772) 932-1297

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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