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1871137695
ANDRE TEDRELL BENSON
ROSEVILLE, CA
NPI
1871137695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN147890)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
ANDRE TEDRELL BENSON
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
ANDRE TEDRELL BENSON
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-716-3570
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