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1013445691
RICHARD ANTHONY BENAVIDEZ
COLTON, CA
NPI
1013445691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA54879)
Enumeration Date
2017-05-26
Last Update Date
2023-09-09
Business Address
RICHARD ANTHONY BENAVIDEZ PA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
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Mailing Address
RICHARD ANTHONY BENAVIDEZ PA
1 COUNTRY WOOD DR
POMONA, CA 91766-4819
Phone number: 816-835-1048
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