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1851828362
KENNETH PRESTON BENTON
GALLUP, NM
NPI
1851828362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: TX 810545)
Enumeration Date
2017-05-15
Last Update Date
2017-05-15
Business Address
KENNETH PRESTON BENTON RN, CEN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 619-633-9433
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Mailing Address
KENNETH PRESTON BENTON RN, CEN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number:
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