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1215905617
RANDY E BENISH
WICHITA FALLS, TX
NPI
1215905617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA01374)
Enumeration Date
2006-03-10
Last Update Date
2011-12-21
Business Address
-- RANDY E BENISH PA
1722 9TH ST
WICHITA FALLS, TX 76301-5003
Phone number: 940-322-1075
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Mailing Address
-- RANDY E BENISH PA
1722 9TH ST
WICHITA FALLS, TX 76301-5003
Phone number: 940-322-1075
Copy
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