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1861169849
JENNIFER A BENAVIDEZ
ALBUQUERQUE, NM
NPI
1861169849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NM PTA1325)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
JENNIFER A BENAVIDEZ PTA
818 MENAUL BLVD NW
ALBUQUERQUE, NM 87107-1245
Phone number: 505-242-4079
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Mailing Address
JENNIFER A BENAVIDEZ PTA
8105 EDDY AVE NE
ALBUQUERQUE, NM 87109-4918
Phone number: 505-400-0060
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