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1083041321
BENOY ABRAHAM GEORGE
PROSPER, TX
NPI
1083041321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2013-10-01
Last Update Date
2016-05-24
Business Address
-- BENOY ABRAHAM GEORGE CSA, LSA
2611 TOWNLAKE DR
PROSPER, TX 75078-8979
Phone number: 972-974-2993
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Mailing Address
-- BENOY ABRAHAM GEORGE CSA, LSA
PO BOX 123
PROSPER, TX 75078-0123
Phone number: 972-974-2993
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