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1053841544
BENJAMIN DAVID TOFAUTE
COLUMBIA, SC
NPI
1053841544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
BENJAMIN DAVID TOFAUTE
8100 GARNERS FERRY RD
COLUMBIA, SC 29209-9496
Phone number: 502-468-5185
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Mailing Address
BENJAMIN DAVID TOFAUTE
3202 DUNLOVA CT
LOUISVILLE, KY 40241-2114
Phone number: 502-468-5185
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