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1598223273
BENSON I USIADE
INDIO, CA
NPI
1598223273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-03-12
Last Update Date
2019-03-15
Business Address
Mr. BENSON I USIADE
BENSON USIADE 41125 BANK CT.
INDIO, CA 92203-4009
Phone number: 760-881-2382
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Mailing Address
Mr. BENSON I USIADE
BENSON USIADE 41125 BANK CT.
INDIO, CA 92203-4009
Phone number: 760-881-2382
Copy
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