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1457654055
BENJAMIN JACOB LIFTO
TRAVIS AFB, CA
NPI
1457654055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2010-12-21
Last Update Date
2010-12-21
Business Address
Mr. BENJAMIN JACOB LIFTO IDMT
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-208-1292
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Mailing Address
Mr. BENJAMIN JACOB LIFTO IDMT
682 VALLEY VIEW WAY
TRAVIS AFB, CA 94535-1160
Phone number: 707-208-1292
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