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1700508710
BENJAMIN BISHOP
STOCKTON, CA
NPI
1700508710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
BENJAMIN BISHOP
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number: 209-946-2285
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Mailing Address
BENJAMIN BISHOP
15625 N DAVIS RD
LODI, CA 95242-9221
Phone number:
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