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1427744309
CHARLES ALAN BENTON
LOUISVILLE, KY
NPI
1427744309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
CHARLES ALAN BENTON DO
500 S PRESTON ST RM 113
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8426
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Mailing Address
CHARLES ALAN BENTON DO
500 S PRESTON ST RM 113
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8426
Copy
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