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1538757448
BRIAN RICARDO BENITEZ
RICHMOND, KY
NPI
1538757448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY AT1673)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
BRIAN RICARDO BENITEZ ATC
521 LANCASTER AVE
RICHMOND, KY 40475-3102
Phone number: 954-376-2468
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Mailing Address
BRIAN RICARDO BENITEZ ATC
521 LANCASTER AVE
RICHMOND, KY 40475-3102
Phone number: 954-376-2468
Copy
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