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1548759640
KELLY LYNN BENSON
TILLAMOOK, OR
NPI
1548759640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA N485722)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
KELLY LYNN BENSON
610 STILLWELL AVE
TILLAMOOK, OR 97141-3752
Phone number: 503-842-9622
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Mailing Address
KELLY LYNN BENSON
610 STILLWELL AVE
TILLAMOOK, OR 97141-3752
Phone number: 503-842-9622
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