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1295345304
KANE BENJAMIN MATA
KILLEEN, TX
NPI
1295345304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-08-04
Last Update Date
2021-09-14
Business Address
KANE BENJAMIN MATA
2201 CLEAR CREEK RD
KILLEEN, TX 76549-4110
Phone number: 254-526-7523
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Mailing Address
KANE BENJAMIN MATA
1007 WAGNER AVE
SAN ANTONIO, TX 78211-3131
Phone number: 210-776-9311
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