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1033148176
RODRIGO BUENCAMINO MATA
KENOSHA, WI
NPI
1033148176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 33893)
Enumeration Date
2006-07-01
Last Update Date
2020-06-03
Business Address
Dr. RODRIGO BUENCAMINO MATA M.D.
6123 GREEN BAY RD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-2710
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Mailing Address
Dr. RODRIGO BUENCAMINO MATA M.D.
6123 GREEN BAY RD SUITE 120
KENOSHA, WI 53142-2927
Phone number: 262-652-2710
Copy
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