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1710421862
STEPHEN BENAVAGE
ALLENTOWN, PA
NPI
1710421862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN620426)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
-- STEPHEN BENAVAGE
1200 S CEDAR CREST BLVD ALLENTOWN
ALLENTOWN, PA 18103-6202
Phone number: 800-516-5315
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Mailing Address
-- STEPHEN BENAVAGE
PO BOX 8500 LOCKBOX# 3367
PHILADELPHIA, PA 19178-3367
Phone number:
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