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1134492457
MATTHEW DEAN BENTON
OLATHE, KS
NPI
1134492457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2012-02-16
Last Update Date
2012-02-16
Business Address
-- MATTHEW DEAN BENTON
12018 S REDBUD LN
OLATHE, KS 66061-5769
Phone number: 620-757-3777
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Mailing Address
-- MATTHEW DEAN BENTON
12018 S REDBUD LN
OLATHE, KS 66061-5769
Phone number: 620-757-3777
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