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1851928865
MICHELLE VANNESSA BENJAMIN
SHREVEPORT, LA
NPI
1851928865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
MICHELLE VANNESSA BENJAMIN MD
1501 KINGS HIGHWAY INTERNAL MEDICINE/PEDIATRICS
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0436
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Mailing Address
MICHELLE VANNESSA BENJAMIN MD
1501 KINGS HIGHWAY INTERNAL MEDICINE/PEDIATRICS
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0436
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