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1720409162
GWIN BENJAMIN
PHOENIX, AZ
NPI
1720409162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0012292)
Enumeration Date
2014-01-03
Last Update Date
2014-01-03
Business Address
-- GWIN BENJAMIN
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 970-426-9181
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Mailing Address
-- GWIN BENJAMIN
450 PROSPECTOR AVE
DURANGO, CO 81301
Phone number:
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