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1720496474
BRANDY A BENTON
LAS VEGAS, NM
NPI
1720496474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4586)
Enumeration Date
2014-07-25
Last Update Date
2015-07-14
Business Address
BRANDY A BENTON DPT
508 UNIVERSITY AVE
LAS VEGAS, NM 87701-4349
Phone number: 505-454-0443
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Mailing Address
BRANDY A BENTON DPT
508 UNIVERSITY AVE
LAS VEGAS, NM 87701-4349
Phone number: 505-454-0443
Copy
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