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1477835957
PATRICIA FENERTY BENTON
LOS ANGELES, CA
NPI
1477835957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA T23953930)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- PATRICIA FENERTY BENTON
3200 MOTOR AVE
LOS ANGELES, CA 90034-3710
Phone number: 310-836-1223
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Mailing Address
-- PATRICIA FENERTY BENTON
3200 MOTOR AVENUE
LOS ANGELES, CA 90034
Phone number:
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