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1255885513
BENJAMIN FUENTES
WOODBRIDGE, VA
NPI
1255885513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305210499)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
-- BENJAMIN FUENTES DPT
13060 WORTH AVE
WOODBRIDGE, VA 22192-4120
Phone number: 703-988-3381
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Mailing Address
-- BENJAMIN FUENTES DPT
501 FAIRMOUNT AVE SUITE 302
TOWSON, MD 21286-5457
Phone number: 410-927-8768
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