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1558992685
BENJAMIN ISOM
MECHANICSVILLE, VA
NPI
1558992685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: 2306604988)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
BENJAMIN ISOM
8200 MEADOWBRIDGE RD
MECHANICSVILLE, VA 23116-2337
Phone number: 804-730-4148
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Mailing Address
BENJAMIN ISOM
13601 CARTWRIGHT LN
RICHMOND, VA 23233-7612
Phone number:
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