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1265621577
CARLIE M BENINGO
OWOSSO, MI
NPI
1265621577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005083)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
-- CARLIE M BENINGO PA
818 W KING ST STE 103
OWOSSO, MI 48867-2116
Phone number: 989-723-8333
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Mailing Address
-- CARLIE M BENINGO PA
818 W KING ST STE 103
OWOSSO, MI 48867-2116
Phone number: 989-723-8333
Copy
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