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1386040129
LEESA BENENHALEY
PETALUMA, CA
NPI
1386040129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95001100)
Enumeration Date
2014-11-05
Last Update Date
2019-11-15
Business Address
LEESA BENENHALEY FNP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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Mailing Address
LEESA BENENHALEY FNP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
Copy
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