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1871204156
JARED BENTON
SAN ANTONIO, TX
NPI
1871204156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1255949)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
JARED BENTON
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
JARED BENTON
227 KERRY LN
HENDERSON, KY 42420-4738
Phone number: 270-454-1185
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