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1033705058
JONATHAN CHRISTIAN BENAVIDEZ
ALBUQUERQUE, NM
NPI
1033705058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM PTA1531)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
JONATHAN CHRISTIAN BENAVIDEZ PTA
8820 HORIZON BLVD NE
ALBUQUERQUE, NM 87113-1689
Phone number: 505-998-1551
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Mailing Address
JONATHAN CHRISTIAN BENAVIDEZ PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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