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1891197455
EDWARD BENKS
FORT COLLINS, CO
NPI
1891197455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- EDWARD BENKS
2929 ROSS DR S73
FORT COLLINS, CO 80526-6639
Phone number: 970-624-9019
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Mailing Address
-- EDWARD BENKS
PO BOX 1411
LAPORTE, CO 80535-1411
Phone number:
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