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1053397703
HERNAN G. BENAVIDES
EUFAULA, AL
NPI
1053397703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-387-TA-013)
Enumeration Date
2005-12-15
Last Update Date
2009-07-06
Business Address
Dr. HERNAN G. BENAVIDES O.D.
138 E BROAD ST
EUFAULA, AL 36027-2024
Phone number: 334-687-2545
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Mailing Address
Dr. HERNAN G. BENAVIDES O.D.
PO BOX 635
EUFAULA, AL 36072-0635
Phone number: 334-687-2545
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LAURA B OSMER
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