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1477705630
SHANNON TRENAY BENJAMIN
BARKSDALE AFB, LA
NPI
1477705630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: LA 4022)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
Miss SHANNON TRENAY BENJAMIN RDH
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6775
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Mailing Address
Miss SHANNON TRENAY BENJAMIN RDH
4147 CALDERWOOD DR
SHREVEPORT, LA 71119-7623
Phone number: 318-456-6775
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