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1720562531
ALEXANDER ISAAC BENAVIDEZ
APO, AE
NPI
1720562531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2018-09-18
Last Update Date
2023-08-01
Business Address
ALEXANDER ISAAC BENAVIDEZ IDMT
52 MDG UNIT 3690
APO, AE 09126
Phone number: 559-359-2873
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Mailing Address
ALEXANDER ISAAC BENAVIDEZ IDMT
3488 GARDEN AVE
FORT SAM HOUSTON, TX 78234-7801
Phone number:
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