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1104309533
MARIE ANTOINETTE BENAVIDEZ
SAN ANTONIO, TX
NPI
1104309533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
242T00000X Perfusionist
(Licence: TX FPF02000054)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
MARIE ANTOINETTE BENAVIDEZ CCP, LP
3463 MAGIC DR STE T21
SAN ANTONIO, TX 78229-3621
Phone number: 212-210-7123
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Mailing Address
MARIE ANTOINETTE BENAVIDEZ CCP, LP
1303 KINGBIRD CT
SAN ANTONIO, TX 78245-4463
Phone number: 210-712-3710
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