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1700204658
NICK BENAS
ASTORIA, OR
NPI
1700204658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-03-28
Last Update Date
2014-03-28
Business Address
-- NICK BENAS QMHA
2120 EXCHANGE ST SUITE 301
ASTORIA, OR 97103-3365
Phone number: 503-325-0241
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Mailing Address
-- NICK BENAS QMHA
1411 EXCHANGE ST 4
ASTORIA, OR 97103-3847
Phone number: 503-440-4037
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