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1568953578
MIA NADINE BENTON
SAN DIEGO, CA
NPI
1568953578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57428)
Enumeration Date
2018-05-24
Last Update Date
2023-03-14
Business Address
MIA NADINE BENTON
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
MIA NADINE BENTON
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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