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1699823591
LAURIE K BENTON
SAN DIEGO, CA
NPI
1699823591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12655)
Enumeration Date
2007-01-08
Last Update Date
2021-12-01
Business Address
LAURIE K BENTON PA
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
LAURIE K BENTON PA
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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