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1336555895
JONATHAN ALEXANDER BENAVIDES
CORPUS CHRISTI, TX
NPI
1336555895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX 2000017616)
Enumeration Date
2014-07-05
Last Update Date
2014-07-05
Business Address
Mr. JONATHAN ALEXANDER BENAVIDES ATC
6506 LAZY WILLOW COURT
CORPUS CHRISTI, TX 78412-4857
Phone number: 361-236-9800
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Mailing Address
Mr. JONATHAN ALEXANDER BENAVIDES ATC
6506 LAZY WILLOW COURT
CORPUS CHRISTI, TX 78412-4857
Phone number: 361-236-9800
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