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1215105580
MARTHA ELENA BENAVIDES
MODESTO, CA
NPI
1215105580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 17263)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
-- MARTHA ELENA BENAVIDES FNP
413 E ORANGEBURG AVE
MODESTO, CA 95350-5369
Phone number: 120-952-9960
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Mailing Address
-- MARTHA ELENA BENAVIDES FNP
413 E ORANGEBURG AVE
MODESTO, CA 95350-5369
Phone number: 120-952-9960
Copy
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