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1649012915
MAJA IVANOVA BENTON
SYRACUSE, NY
NPI
1649012915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 354461)
Enumeration Date
2024-06-08
Last Update Date
2024-06-08
Business Address
Mrs. MAJA IVANOVA BENTON NP
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
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Mailing Address
Mrs. MAJA IVANOVA BENTON NP
121 DONALDSON DR
SYRACUSE, NY 13219-1838
Phone number: 315-882-7517
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