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1679176200
BENJAMIN HABERLY
SOUTH BEND, IN
NPI
1679176200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: IN 10003022A)
Enumeration Date
2020-11-17
Last Update Date
2024-09-03
Business Address
BENJAMIN HABERLY
53880 CARMICHAEL DR
SOUTH BEND, IN 46635-1567
Phone number: 574-247-9441
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Mailing Address
BENJAMIN HABERLY
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number:
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