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1659191203
JUSTIN BENAVIDES
SAN ANTONIO, TX
NPI
1659191203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1178129)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
JUSTIN BENAVIDES
14317 POTRANCO RD STE 207
SAN ANTONIO, TX 78253-7126
Phone number: 726-200-2499
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Mailing Address
JUSTIN BENAVIDES
9603 BANDERA RD APT 1217
SAN ANTONIO, TX 78250-5604
Phone number: 361-813-9341
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