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1841888484
LESLY MATTHEW BENODIN
COLLEGE STATION, TX
NPI
1841888484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16911)
Enumeration Date
2021-01-08
Last Update Date
2023-06-28
Business Address
LESLY MATTHEW BENODIN PA-C
1289 UNIVERSITY DR
COLLEGE STATION, TX 77840-1559
Phone number: 936-900-6007
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Mailing Address
LESLY MATTHEW BENODIN PA-C
404 FM 3179 RD
HUNTSVILLE, TX 77340-2068
Phone number: 936-900-6007
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