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1265407191
MATTHEW TODD BENTON
TRAVERSE CITY, MI
NPI
1265407191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW TODD BENTON corpsman
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686-3513
Phone number: 231-922-8282
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Mailing Address
Mr. MATTHEW TODD BENTON corpsman
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686-3513
Phone number: 231-922-8282
Copy
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