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1417518325
CODY ANDREW BENAVIDES
TACOMA, WA
NPI
1417518325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-06-23
Last Update Date
2019-06-23
Business Address
CODY ANDREW BENAVIDES DPT
1901 S 72ND ST
TACOMA, WA 98408-1200
Phone number: 253-475-4870
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Mailing Address
CODY ANDREW BENAVIDES DPT
11216 MADERA CIR SW
LAKEWOOD, WA 98499-1497
Phone number: 216-789-4801
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