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1518999671
TIMOTHY BENTON
ODESSA, TX
NPI
1518999671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J8456)
Enumeration Date
2006-07-07
Last Update Date
2015-06-05
Business Address
-- TIMOTHY BENTON MD
701 W 5TH ST ATTN: CREDENTIALING
ODESSA, TX 79763-4206
Phone number: 432-703-5200
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Mailing Address
-- TIMOTHY BENTON MD
701 W 5TH ST ATTN: CREDENTIALING
ODESSA, TX 79763-4206
Phone number: 432-703-5200
Copy
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