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1881129096
BENJALINE MEDLOCK
SAHUARITA, AZ
NPI
1881129096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 5838617)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- BENJALINE MEDLOCK
642 W CAMINO CURVITAS
SAHUARITA, AZ 85629-8257
Phone number: 520-971-9452
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Mailing Address
-- BENJALINE MEDLOCK
994 S HARRISON RD
TUCSON, AZ 85748-6608
Phone number: 520-721-1887
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