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1083033146
JUSTIN MICHAEL BENNINK
SAN YSIDRO, CA
NPI
1083033146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A138477)
Enumeration Date
2014-04-15
Last Update Date
2021-12-06
Business Address
Dr. JUSTIN MICHAEL BENNINK M.D.
4004 BEYER BLVD
SAN YSIDRO, CA 92173-2007
Phone number: 619-662-4100
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Mailing Address
Dr. JUSTIN MICHAEL BENNINK M.D.
4004 BEYER BLVD
SAN YSIDRO, CA 92173-2007
Phone number: 619-662-4100
Copy
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