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1235500901
ANTHONY BENAVIDEZ
SAN LUIS OBISPO, CA
NPI
1235500901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-10-07
Last Update Date
2023-12-28
Business Address
Mr. ANTHONY BENAVIDEZ
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-788-2140
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Mailing Address
Mr. ANTHONY BENAVIDEZ
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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